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Thorac Cardiovasc Surg 2001; 49(5): 310-311
DOI: 10.1055/s-2001-17799
Case Report
© Georg Thieme Verlag Stuttgart · New York

Near-Fatal Hemoptysis and Emergency Surgical Repair after Aortic Patch-Plasty

M.  Kamler1 , S.  Tuengerthal2 , H.  Rauch3 , S.  Hagl4 , H.  Jakob1
  • 1Department of Thoracic and Cardiovascular Surgery,
    University of Essen, Germany
  • 2Department of Radiology, Heidelberg Thorax Clinic;
  • 3Department of Anesthesiology, Ruprecht Karls University,
    Heidelberg, Germany
  • 4Department of Cardiac Surgery, Ruprecht Karls University,
    Heidelberg, Germany
Further Information

Publication History

Publication Date:
15 October 2001 (online)

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A 38-year-old man presented with massive hemoptysis followed by hemorrhage shock. The patient’s history revealed a Dacron patch repair for aortic coarctation and recoarctation carried out twice, once 23 and once 10 years ago. Diagnosis of a ruptured descending aortic aneurysm with an aortobronchial fistula into the left lower lobe was established using CT scan. Emergency surgery consisted of left pneumonectomy and descending aortic graft replacement during deep hypothermic circulatory arrest. The patient was discharged 12 days later.

Key words:

Hemoptysis - Aortobronchial fistula - Emergency surgery

References

  • 1 Hehrlein F W, Mulch J, Rautenburg H W, Schlepper M, Scheld H H. Incidence and pathogenesis of late aneurysms after patch graft aortoplasty for coarctation.  J. Thorac Cardiovasc Surg. 1986;  92 226-230
    PubMedGoogle Scholar
  • 2 Knyshov G V, Sitar L L, Glagola M D, Atamanyuk M Y. Aortic Aneurysms at the Site of the Repair of Coarctation of the Aorta A Review of 48 Patients.  Ann Thorac Surg. 1996;  61 935-939
    CrossrefPubMedGoogle Scholar
  • 3 Caes F, Taeymans Y, Van Nooten G. Aortobronchial fistula: a late complication of coarctation repair by patch aortoplasty.  Thorac Cardiovasc Surg. 1993;  41 80-82
    PubMedGoogle Scholar
  • 4 Holdright D R, Kilner P J, Somerville J. Haemoptysis from false aneurysm: near fatal complication of repair of coarctation of the aorta using a Dacron patch.  Int J Cardiol. 1991;  32 406-408
    CrossrefPubMedGoogle Scholar
  • 5 Ala Kulju K, Heikkinen L. Aneurysms after patch graft aortoplasty for coarctation of the aorta: long-term results of surgical management.  Ann Thorac Surg. 1989;  47 853-856
    PubMedGoogle Scholar
  • 6 Parks W J, Ngo T D, Plauth W H, Jr,. et al . Incidence of aneurysm formation after Dacron patch aortoplasty repair for coarctation of the aorta: long-term results and assessment utilizing magnetic resonance angiography with three-dimensional surface rendering.  J Am Coll Cardiol. 1995;  26 266-267
    CrossrefPubMedGoogle Scholar
  • 7 Macintosh E L, Parrott J CW, and Unruh H W. Fistulas between the aorta and the tracheobronchial tree.  Ann Thorac Surg. 1991;  51 515-519
    PubMedGoogle Scholar

Received for Publication: November 9, 2000

Dr. Markus Kamler

University of Essen
Dept. of Thoracic and Cardiovascular Surgery

Hufelandstraße 55

45122 Essen, Germany

Phone: (49) (201) 723-34 02

Fax: (49) (201) 723-59 31

Email: Markus.Kamler@uni-essen.de

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