Korean J Med.  2003 Nov;65(Suppl 3):S721-S726.

A case of aortobronchial fistula caused by thoracic aortic aneurysm and successfully treated with an endovascular stent graft

Affiliations
  • 1Department of Internal Medicine, Kosin Universtiy College of Medicine, Busan, Korea. sejjoo@ns.kosinmed.or.kr

Abstract

Thoracic aortic aneurysms are potentially life-threatening. They are caused by atherosclerosis, most commonly of the descending aorta. Clinical manifestations are due to the compression or erosion of adjacent structures, dissection, or rupture. Thoracic aortic aneurysms account for 50 to 60 percent of aortobronchopulmonary fistulas. Symptoms of aortobronchopulmonary fistulas include constant chest or back pain, cough, and dyspnea, as well as hemoptysis, which occurs in over 95 percent of cases. Recently, aortobronchial fistula, caused by thoracic aortic aneurysms, has been successfully treated with an endovascular stent graft. We report a patient with aortobronchial fistula presenting with hemoptysis, who was successfully treated with an endovascular stent graft.

Keyword

Hemoptysis; Hematemesis; Thoracic aortic aneurysm; Aortobronchial fistula

MeSH Terms

Aorta, Thoracic
Aortic Aneurysm, Thoracic*
Atherosclerosis
Back Pain
Blood Vessel Prosthesis*
Cough
Dyspnea
Fistula*
Hematemesis
Hemoptysis
Humans
Rupture
Stents*
Thorax
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