Delayed diagnosis of hemoptysis in the case of prior aortic coarctation repair: A case report of aortobronchial fistula

Respiratory Medicine Case Reports

Sudhir Nagpal¹  Vinay Kansal² 

[1] University of Ottawa, Division of Vascular Surgery, Canada;University of Ottawa, Faculty of Medicine, Canada;

关键词: Hemoptysis;    Aortobronchial fistula;    Pseudoaneurysm;    Coaractation repair;    Thoracic endovascular aneurysm repair;   

DOI  :  10.1016/j.rmcr.2015.07.004

来源: DOAJ

【 摘 要 】

We report a case of a 46-year old man who presented with spontaneous bright red blood per mouth for several months. The patient had history of aortic coarctation repair at age 17. Endoscopy and nasopharyngeoscopy revealed no source of bleeding. Computed tomography scan revealed the presence of thoracic aortic pseudoaneurysm with the formation of an aortobronchial fistula (ABF). This case illustrates the high index of suspicion for ABF in the case of hemoptysis or hematemesis with prior history of coarctation repair. Furthermore, we discuss the role of thoracic endovascular aneurysm repair (TEVAR) as the standard of repair over open surgery.

【 授权许可】

Unknown