Author/Authors :
Ahmadi, Zargham Hossein shahid beheshti university of medical sciences - Lung Transplantation Research Center, National Research of Tuberculosis and Lung Diseases (NRITLD), تهران, ايران , Ansari Aval, Zahra shahid beheshti university of medical sciences - Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases(NRITLD), تهران, ايران , Saghebi, Reza shahid beheshti university of medical sciences - Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases(NRITLD), تهران, ايران , Kianfar, AmirAbbas shahid beheshti university of medical sciences - Tracheal Diseases Research Center, National Research Institute of Tuberculosisand Lung Diseases (NRITLD), تهران, ايران , Hashemian, Mohammad-Reza shahid beheshti university of medical sciences - Clinical Tuberculosis and Epidemiology Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD),, تهران, ايران , Kahkouee, Shahram shahid beheshti university of medical sciences - Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases(NRITLD), تهران, ايران , Roozdar, Sepehr shahid beheshti university of medical sciences - Tobacco Prevention and Control Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), تهران, ايران , Naderi, Hadi shahid beheshti university of medical sciences - Telemedicine Research Center, National Research Institute of Tuberculosisand Lung Diseases (NRITLD), تهران, ايران
Abstract :
Aortobronchial (AB) fistula is a rare disease, which is presented with massive hemoptysis; lethal if not treated. It should be suspected in any patient who presents with massive hemoptysis and had previous aortic thoracic surgery, but even it may be seen in patients without any history of operation on the thoracic aorta. Although, today in many centers endovascular therapy is done for these patients, but it is not the standard approach. Surgery in urgent situations has an essential role in saving the patients. Operative management consists of double lumen intubation and one lung ventilation, followed by femoral artery and vein cannulation. Then Posterolateral thoracotomy and achieving proximal and distal control on the aorta, applying cardiopulmonary bypass (CPB), separation the lesion, and bypass the segment of the diseased aorta by a synthetic graft.
Keywords :
Aneurysm of thoracic aorta , aortobronchial fistula , cardiopulmonary bypass , endovascular therapy , massive hemoptysis
