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The Journal of Cardiovascular Surgery 2000 April;41(2):259-62

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Aortobronchial fistula after aortic dissection type B

Aidala E., Trichiolo S., Del Ponte S., Di Summa M., Poletti G., Zanetti P. P.

From the Department of Cardiac Surgery University of Turin, Italy *Center of Thoracic Aortic Surgery, Asti, Italy


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Although ­rare, aor­to­bron­chial fis­tula com­pli­cates tho­racic ­aortic sur­gery. Cor­rect diag­nosis and the infec­tious ­nature of the ­lesion are the ­most impor­tant con­di­tions to ­define, for the fol­lowing ­best ­therapy. We pre­sented a ­case of non-infec­tious ­postsur­gical aor­to­bron­chial fis­tula, ­revealed by com­puted-tom­o­graphic ­scan and angio­graphy pro­ce­dure, ­treated ­with pros­thetic ­graft replace­ment and ­broad spec­trum anti­bi­otic ­therapy. In the ­case of infec­tion our ­policy is homo­graft replace­ment. Com­puted tomog­raphy, ­being ­able to ­make diag­nosis, ­should be per­formed as the ­initial tech­nique.

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