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  • Title: Aortobronchial fistula secondary to chronic post-traumatic thoracic aneurysm.
    Author: Fernández González AL, Montero JA, Luna D, Gil O, Sanjuán VM, Monzonís AM.
    Journal: Tex Heart Inst J; 1996; 23(2):174-7. PubMed ID: 8792550.
    Abstract:
    A few patients with traumatic aortic laceration remain undiagnosed and survive long enough to develop a chronic aneurysm. Such aneurysms are frequently asymptomatic; alternatively, they may manifest themselves in the form of chest pain, dysphonia, dysphagia, bronchial irritation, or sudden death. A case of aortobronchial fistula secondary to a chronic post-traumatic aneurysm of the aortic isthmus is presented. Hemoptysis was the main sign. The affected segment of the thoracic aorta was replaced with a Dacron graft and a left superior lobectomy was performed. Nevertheless, the patient died during the postoperative period due to adult respiratory distress syndrome. Pathogenesis, diagnosis, and management of aortobronchial fistulae are discussed.
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