Aortopulmonary Fistula Presenting without an Endoleak after Thoracic Endovascular Aortic Repair.
10.5090/kjtcs.2017.50.4.287
- Author:
Giacomo SICA
1
;
Gaetano REA
;
Giorgio BOCCHINI
;
Romilda LOMBARDI
;
Massimo MUTO
;
Tullio VALENTE
Author Information
1. Division of Radiology, Department of Diagnostic Imaging, Monaldi Hospital, Italy. gsica@sirm.org
- Publication Type:Case Report
- Keywords:
Endovascular procedures;
Aortic aneurysm;
Pulmonary atelectasis;
Complication;
Physiotherapy
- MeSH:
Aneurysm;
Antibiotic Prophylaxis;
Aorta, Thoracic;
Aortic Aneurysm;
Diabetes Mellitus;
Endoleak*;
Endovascular Procedures;
Fistula*;
Hemoptysis;
Humans;
Hypertension;
Middle Aged;
Pulmonary Atelectasis;
Tomography, X-Ray Computed
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2017;50(4):287-290
- CountryRepublic of Korea
- Language:English
-
Abstract:
Herein, we report the case of a 60-year-old man, a smoker with a history of arterial hypertension and diabetes mellitus. After computed tomography (CT) for an episode of hemoptysis, the patient underwent elective thoracic endovascular aortic repair (TEVAR) because of a degenerative aneurysm of the descending thoracic aorta. The area of perianeurysmal pulmonary atelectasis reported on the CT scan was not considered. Three months later, he developed an aortopulmonary fistula without endoleaks. Although TEVAR is a relatively safe procedure, no detail should be overlooked in the preoperative evaluation in order to avoid life-threatening complications. Further, the effectiveness and modality of prolonged antibiotic prophylaxis and/or preoperative respiratory physiotherapy should be assessed in such cases.
