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BMJ Case Reports 2012; doi:10.1136/bcr.01.2012.5622
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Aortobronchial fistula successfully treated with thoracic endovascular aortic repair

  1. Pedro Dammert
  1. Pulmonary and Critical Care Medicine Department, Cooper University Hospital, Camden, New Jersey, USA
  1. Correspondence to Dr Ziad Boujaoude, boujaoude-ziad{at}cooperhealth.edu

Description

Within the causes of haemoptysis, aortobronchial fistulas (ABFs) are rare, but are uniformly fatal if left untreated.1 Intermittent or massive haemoptysis is the cardinal symptom, but it is non-specific and a high index of suspicion is necessary to make the diagnosis.2 Traditional surgical treatment carries high mortality and morbidity. We present a case of ABF that was promptly diagnosed and successfully treated with thoracic endovascular aortic repair (TEVAR). An 86-year-old woman presented with an episode of self-limited hemoptysis of approximately 200 ml of bright red blood. She had history of hypertension and was clinically stable. A chest roentgenogram showed prominence of the superior aspect of the …

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