Thoracic endovascular repair as a safe management strategy for aortobronchial fistulas Charles J. Bailey, MD, Seth Force, MD, Ross Milner, MD, Karthikeshwar.

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Presentation transcript:

Thoracic endovascular repair as a safe management strategy for aortobronchial fistulas Charles J. Bailey, MD, Seth Force, MD, Ross Milner, MD, Karthikeshwar Kasirajan, MD, Ravi K. Veeraswamy, MD Journal of Vascular Surgery Volume 53, Issue 5, Pages 1202-1209 (May 2011) DOI: 10.1016/j.jvs.2010.10.103 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Preoperative computed tomography angiography shows (A) a saccular aneurysm of the proximal thoracic aorta (white arrow), and (B) evidence of aneurysm rupture with mediastinal hematoma formation. Journal of Vascular Surgery 2011 53, 1202-1209DOI: (10.1016/j.jvs.2010.10.103) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 Preoperative bronchoscopy demonstrates aortobronchial fistula (black arrow) at the distal left main-stem (LMS) bronchus. Journal of Vascular Surgery 2011 53, 1202-1209DOI: (10.1016/j.jvs.2010.10.103) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Intraoperative fluoroscopy of pre-endostent deployment illustrates extravasation of contrast through the aortobronchial fistula (circle). B, Post-endostent imaging documents coverage of aneurysm, without endoleak or extravasation through the aortobronchial fistula. Journal of Vascular Surgery 2011 53, 1202-1209DOI: (10.1016/j.jvs.2010.10.103) Copyright © 2011 Society for Vascular Surgery Terms and Conditions