Endovascular management of an acquired aortobronchial fistula following aortic bypass for coarctation.
AffiliationDepartment of Cardiothoracic Surgery, Mater Hospital, Dublin, Ireland.
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CitationEndovascular management of an acquired aortobronchial fistula following aortic bypass for coarctation. 2013: Interact Cardiovasc Thorac Surg
JournalInteractive cardiovascular and thoracic surgery
AbstractAortobronchial fistula (ABF) in the setting of aortic coarctation repair is very rare but uniformly fatal if untreated. Endovascular stenting of the descending aorta is now the first-choice approach for ABF presenting with haemoptysis and offers a less-invasive technique with improved outcomes, compared with open repair. We report a case of late ABF occurring following bypass for aortic coarctation. Management focused on two key manoeuvres: use of a covered endovascular stent to occlude the aortic bypass thus controlling the fistula and dilatation and stenting of native coarctation.