Endovascular repair of aortobronchial fistula three decades after open repair of traumatic aortic transection: A case report and 3-year follow-up

Abstract

A rare and lethal vascular condition is the communication of the thoracic aorta and tracheobronchial tree. Typically, the development occurs after open or endovascular aortic repair that has been complicated by infection and usually presents with hemoptysis as the heralding event, which can lead to massive hemorrhage. Computed tomography angiography remains the diagnostic imaging modality of choice. Medical management will be futile, with the need for expedited operative intervention via open, endovascular, or hybrid open and endovascular repair.

Keywords

• Aortic pseudoaneurysm
• Aortobronchial fistula
• Thoracic endovascular aortic repair
• Traumatic aortic transection