Aortopulmonary Fistula Presenting without an Endoleak after Thoracic Endovascular Aortic Repair
Herein, we report the case of a 60-year-old man, a smoker with a history of arterial hypertension and diabetes mellitus. After computed tomography (CT) for an episode of hemoptysis, the patient underwent elective thoracic endovascular aortic repair (TEVAR) because of a degenerative aneurysm of the...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic and Cardiovascular Surgery
2017-08-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.4.287 |
| _version_ | 1818353983362695168 |
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| author | Giacomo Sica Gaetano Rea Giorgio Bocchini Romilda Lombardi Massimo Muto Tullio Valente |
| author_facet | Giacomo Sica Gaetano Rea Giorgio Bocchini Romilda Lombardi Massimo Muto Tullio Valente |
| author_sort | Giacomo Sica |
| collection | DOAJ |
| description | Herein, we report the case of a 60-year-old man, a smoker with a history of arterial hypertension and diabetes
mellitus. After computed tomography (CT) for an episode of hemoptysis, the patient underwent elective
thoracic endovascular aortic repair (TEVAR) because of a degenerative aneurysm of the descending thoracic
aorta. The area of perianeurysmal pulmonary atelectasis reported on the CT scan was not considered. Three
months later, he developed an aortopulmonary fistula without endoleaks. Although TEVAR is a relatively safe
procedure, no detail should be overlooked in the preoperative evaluation in order to avoid life-threatening
complications. Further, the effectiveness and modality of prolonged antibiotic prophylaxis and/or preoperative
respiratory physiotherapy should be assessed in such cases. |
| first_indexed | 2024-12-13T19:18:12Z |
| format | Article |
| id | doaj.art-a08d42f082f741acb57f245c4b3d6159 |
| institution | Directory Open Access Journal |
| issn | 2233-601X 2093-6516 |
| language | English |
| last_indexed | 2024-12-13T19:18:12Z |
| publishDate | 2017-08-01 |
| publisher | Korean Society for Thoracic and Cardiovascular Surgery |
| record_format | Article |
| series | Korean Journal of Thoracic and Cardiovascular Surgery |
| spelling | doaj.art-a08d42f082f741acb57f245c4b3d61592022-12-21T23:34:13ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2093-65162017-08-0150428729010.5090/kjtcs.2017.50.4.287Aortopulmonary Fistula Presenting without an Endoleak after Thoracic Endovascular Aortic RepairGiacomo Sica0Gaetano Rea1Giorgio Bocchini2Romilda Lombardi3Massimo Muto4Tullio Valente5Monaldi HospitalMonaldi HospitalMonaldi HospitalAO RummoMonaldi HospitalMonaldi HospitalHerein, we report the case of a 60-year-old man, a smoker with a history of arterial hypertension and diabetes mellitus. After computed tomography (CT) for an episode of hemoptysis, the patient underwent elective thoracic endovascular aortic repair (TEVAR) because of a degenerative aneurysm of the descending thoracic aorta. The area of perianeurysmal pulmonary atelectasis reported on the CT scan was not considered. Three months later, he developed an aortopulmonary fistula without endoleaks. Although TEVAR is a relatively safe procedure, no detail should be overlooked in the preoperative evaluation in order to avoid life-threatening complications. Further, the effectiveness and modality of prolonged antibiotic prophylaxis and/or preoperative respiratory physiotherapy should be assessed in such cases.http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.4.287Endovascular proceduresAortic aneurysmPulmonary atelectasisComplicationPhysiotherapy |
| spellingShingle | Giacomo Sica Gaetano Rea Giorgio Bocchini Romilda Lombardi Massimo Muto Tullio Valente Aortopulmonary Fistula Presenting without an Endoleak after Thoracic Endovascular Aortic Repair Korean Journal of Thoracic and Cardiovascular Surgery Endovascular procedures Aortic aneurysm Pulmonary atelectasis Complication Physiotherapy |
| title | Aortopulmonary Fistula Presenting without an Endoleak after Thoracic Endovascular Aortic Repair |
| title_full | Aortopulmonary Fistula Presenting without an Endoleak after Thoracic Endovascular Aortic Repair |
| title_fullStr | Aortopulmonary Fistula Presenting without an Endoleak after Thoracic Endovascular Aortic Repair |
| title_full_unstemmed | Aortopulmonary Fistula Presenting without an Endoleak after Thoracic Endovascular Aortic Repair |
| title_short | Aortopulmonary Fistula Presenting without an Endoleak after Thoracic Endovascular Aortic Repair |
| title_sort | aortopulmonary fistula presenting without an endoleak after thoracic endovascular aortic repair |
| topic | Endovascular procedures Aortic aneurysm Pulmonary atelectasis Complication Physiotherapy |
| url | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.4.287 |
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