Bronchovascular Fistula Formation: A Rare Airway Complication After Lung Transplantation

Although most late complications after lung transplantation are related to chronic rejection, airway anastomotic disease cannot be overlooked as a substantial contributor to morbidity and mortality. A rare, but nearly universally fatal example of anastomotic disease is fistula formation with the vas...

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Bibliographic Details
Published inThe Journal of heart and lung transplantation Vol. 27; no. 10; pp. 1179 - 1185
Main Authors Knight, Jennifer, MD, Elwing, Jean M., MD, Milstone, Aaron, MD
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.10.2008
Elsevier Science
Subjects
Adrenal Cortex Hormones - therapeutic use
Antiviral Agents - therapeutic use
Autopsy
Biological and medical sciences
Bronchial Fistula - diagnosis
Bronchial Fistula - pathology
Cardiology. Vascular system
Cystic Fibrosis - surgery
Cytomegalovirus Infections - drug therapy
Fatal Outcome
Graft Rejection - drug therapy
Humans
Lung Transplantation - adverse effects
Male
Medical sciences
Postoperative Complications - diagnosis
Postoperative Complications - pathology
Pulmonary Circulation
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Young Adult
Lung
Fistula
Transplantation
Homotransplantation
Phlebology
Respiratory tract
Treatment
Surgery
Graft
Complication
Circulatory system
Cardiology
Formation
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Summary:Although most late complications after lung transplantation are related to chronic rejection, airway anastomotic disease cannot be overlooked as a substantial contributor to morbidity and mortality. A rare, but nearly universally fatal example of anastomotic disease is fistula formation with the vascular system. Reports of fistula formation between the respiratory tree and the vascular system are not uncommon, but in the lung transplant population, specifically, only scattered case reports exist. Here we describe 3 cases of bronchovascular fistula formation after lung transplantation, with a review of the literature and exploration of possible risk factors, diagnostic techniques, and treatment modalities.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:1053-2498
1557-3117
DOI:10.1016/j.healun.2008.06.013