Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Aortopulmonary Fistula Presenting without an Endoleak after Thoracic Endovascular Aortic Repair

  • Sica, Giacomo (Division of Radiology, Department of Diagnostic Imaging, Monaldi Hospital) ;
  • Rea, Gaetano (Division of Radiology, Department of Diagnostic Imaging, Monaldi Hospital) ;
  • Bocchini, Giorgio (Division of Radiology, Department of Diagnostic Imaging, Monaldi Hospital) ;
  • Lombardi, Romilda (Division of Radiology, Department of Diagnostic Imaging, AO Rummo) ;
  • Muto, Massimo (Division of Radiology, Department of Diagnostic Imaging, Monaldi Hospital) ;
  • Valente, Tullio (Division of Radiology, Department of Diagnostic Imaging, Monaldi Hospital)
  • Received : 2016.11.10
  • Accepted : 2017.03.29
  • Published : 2017.08.05
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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.

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References

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