• Harefuah · Dec 1992

    Case Reports

    [Aortopulmonary fistula due to failed graft for aortic aneurysm].

    • R Ganem, D Perry, and P Weiner.
    • Dept. of Medicine A, Hillel Yaffe Medical Center, Hadera.
    • Harefuah. 1992 Dec 1;123(11):458-9, 507.

    AbstractHemoptysis originating from an aortobronchial fistula is uncommon. This fistulous connection between the aorta and the lung usually results from a preexisting thoracic-aortic aneurysm, and is uniformly fatal when left untreated. However, with early diagnosis the survival rate exceeds 80%. The case of an aortobronchial fistula in a young alcoholic, 2 years after aortic aneurysmectomy, is presented. He was admitted with symptoms suggesting upper gastrointestinal bleeding, allegedly related to alcohol abuse. He died of a sudden, massive hemoptysis 5 days after admission. An aortobronchial fistula was found on autopsy. To diagnose aortobronchial fistula, a high index of suspicion is necessary. It should be considered in patients with hemoptysis after repair of a thoracic aneurysm.

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