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  • Title: Emergency management of aorto-bronchial fistula after implantation of a self-expanding bronchial stent.
    Author: Nouraei SM, Pillay T, Hilton CJ.
    Journal: Eur J Cardiothorac Surg; 2001 Sep; 20(3):642-4. PubMed ID: 11509298.
    Abstract:
    We report a case of aorto-bronchial fistula 7 years after implantation of a self-expanding metal stent into the left main bronchus. The clinical presentation was characterised by left-sided chest pain, dyspnea and a single bout of haemoptysis. The fistula was surgically managed by aortic resection and primary repair of the aorta, and patch repair of the left main bronchus over a Polyflex covered bronchial stent. When haemoptysis occurs in a patient with a history of bronchial stent implantation, the presence of an aorto-bronchial fistula should be considered. Early diagnosis offers the only possibility of recovery through a lifesaving surgical procedure.
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