Surgical treatment of five patients with aortobronchial fistula in the aortic arch
Aortobronchial fistula (ABF) is a rare condition that is almost always fatal in the absence of prompt and proper treatment. However, treatment remains challenging, particularly in the aortic arch. We present six operations for 5 such patients, in which no in-hospital deaths occurred. One patient wit...
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| Veröffentlicht in: | The Annals of thoracic surgery 2004-05, Vol.77 (5), p.1821-1823 |
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| container_title | The Annals of thoracic surgery |
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| creator | Nishizawa, Junichiro Matsumoto, Masahiko Sugita, Takaaki Matsuyama, Katsuhiko Tokuda, Yoshiyuki Yoshida, Kazunori Matsuo, Takehiko |
| description | Aortobronchial fistula (ABF) is a rare condition that is almost always fatal in the absence of prompt and proper treatment. However, treatment remains challenging, particularly in the aortic arch. We present six operations for 5 such patients, in which no in-hospital deaths occurred. One patient with mycotic aneurysm died suddenly 10 months postoperatively. Another patient required reoperation 5-months after operation due to additional ABF. No pseudoaneurysms or graft-related complications were observed in the remaining patients. In patients with ABF, performance of operations as soon as possible after onset and minimal dissection of adherent lung tissue appear to improve outcomes. |
| doi_str_mv | 10.1016/S0003-4975(03)00998-6 |
| format | Article |
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However, treatment remains challenging, particularly in the aortic arch. We present six operations for 5 such patients, in which no in-hospital deaths occurred. One patient with mycotic aneurysm died suddenly 10 months postoperatively. Another patient required reoperation 5-months after operation due to additional ABF. No pseudoaneurysms or graft-related complications were observed in the remaining patients. In patients with ABF, performance of operations as soon as possible after onset and minimal dissection of adherent lung tissue appear to improve outcomes.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(03)00998-6</identifier><identifier>PMID: 15111198</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Aneurysm, Ruptured - complications ; Aortic Aneurysm, Thoracic - complications ; Aortic Aneurysm, Thoracic - surgery ; Aortic Diseases - etiology ; Aortic Diseases - surgery ; Biological and medical sciences ; Blood Vessel Prosthesis Implantation ; Bronchial Fistula - etiology ; Bronchial Fistula - surgery ; Cardiology. 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However, treatment remains challenging, particularly in the aortic arch. We present six operations for 5 such patients, in which no in-hospital deaths occurred. One patient with mycotic aneurysm died suddenly 10 months postoperatively. Another patient required reoperation 5-months after operation due to additional ABF. No pseudoaneurysms or graft-related complications were observed in the remaining patients. In patients with ABF, performance of operations as soon as possible after onset and minimal dissection of adherent lung tissue appear to improve outcomes.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Aneurysm, Ruptured - complications</subject><subject>Aortic Aneurysm, Thoracic - complications</subject><subject>Aortic Aneurysm, Thoracic - surgery</subject><subject>Aortic Diseases - etiology</subject><subject>Aortic Diseases - surgery</subject><subject>Biological and medical sciences</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>Bronchial Fistula - etiology</subject><subject>Bronchial Fistula - surgery</subject><subject>Cardiology. 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| subjects | Aged Aged, 80 and over Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Aneurysm, Ruptured - complications Aortic Aneurysm, Thoracic - complications Aortic Aneurysm, Thoracic - surgery Aortic Diseases - etiology Aortic Diseases - surgery Biological and medical sciences Blood Vessel Prosthesis Implantation Bronchial Fistula - etiology Bronchial Fistula - surgery Cardiology. Vascular system Humans Male Medical sciences Middle Aged Pneumology Postoperative Complications - surgery |
| title | Surgical treatment of five patients with aortobronchial fistula in the aortic arch |
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