Endovascular Management of an Aortobronchial Fistula Arising After Resection of a Primary Aortic Sarcoma A Case Report

• Published in: Vascular and endovascular surgery Vol. 35; no. 1; pp. 73 - 79
• Main Authors: Caiati, Joseph M., Marin, Michael L., Flores, Raja M., Smith, Craig R., Martin, Eric C., Todd, George J.
• Format: Journal Article
• Language: English
• Published: Thousand Oaks, CA SAGE Publications 01.01.2001; Westminster Publications, Inc
• Subjects: Aorta, Thoracic - surgery; Aortic Diseases - etiology; Aortic Diseases - surgery; Bronchial Fistula - etiology; Bronchial Fistula - surgery; Humans; Male; Middle Aged; Postoperative Complications - etiology; Postoperative Complications - surgery; Sarcoma - complications; Sarcoma - surgery; Thoracic Neoplasms - complications; Thoracic Neoplasms - surgery; Vascular Fistula - etiology; Vascular Fistula - surgery; Vascular Surgical Procedures
• ISSN: 0042-2835; 1538-5744; 1938-9116
• DOI: 10.1177/153857440103500116

The experience with the use of endovascular covered stents for aortic lesions has been growing. The early results of using endovascular covered stents for the exclusion of thoracic and infrarenal abdominal aortic aneurysms have been promising and are being investigated in multiple ongoing trials. Their usage for other aortic lesions has been reported sporadically, often as resourceful options in unusual and difficult clinical situations. The authors report a patient who had previously undergone resection of a thoracic aortic sarcoma and subsequently presented in extremis from an aortobronchial fistula. The evaluation and treatment of an aortic sarcoma and the successful urgent exclusion of an aortobronchial fistula through use of an endovascular covered stent are discussed.