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Aortobronchial Fistula: Keys to Successful ManagementDepartment of Pulmonary Medicine, St. Thomas Hospital Medical Center, and the Respiratory Therapy Department, Cleveland Clinic Foundation, Cleveland, Ohio
Department of Pulmonary Medicine, St. Thomas Hospital Medical Center, and the Respiratory Therapy Department, Cleveland Clinic Foundation, Cleveland, Ohio Aortobronchial fistula is a rare but highly lethal condition. If diagnosed, its survival rates are greater than 80%; if not, the condi tion is uniformly fatal with death most com monly due to massive hemoptysis. A review of the world's literature and an illustrated case are presented. A total of 30 cases have been described, but the published incidence may be low. Of the cases presented in sufficient detail for analysis, 92% (23 of 25) were associated with an aneurysm of the thoracic aorta. The most consistent symptom was hemoptysis (22 of 23, 96%), especially massive he moptysis (15 of 19, 79%). Plain chest radio graphs demonstrated an aneurysm in 46% (6 of 13 evaluable cases). Either an aneurysm on the chest x-ray or massive hemoptysis, or both were seen in 94% of cases (16 of 17). The most rewarding test (in 5 of 7, 71 %) was the thoracic aortogram. Surgical correction was followed by an 82% survival rate (9 of 11). Untreated, the eventual mortality was 100%, although one patient died as late as 6 months after the initial presentation with massive hemoptysis.
Angiology, Vol. 31, No. 6,
431-435 (1980) This article has been cited by other articles:
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