Abstract
Aortobronchial fistula can be a fatal complication following thoracic aortic surgery. We report a successful surgically treated case of Aortobronchial fistulas. A 62-year-old man complained of hemoptysis. Computed tomography (CT) showed air around his stent graft. We treated conservatively by antibiotics. Since he did not improve, we therefore performed surgery. Using a partial cardiopulmonary bypass under mild hypothermia, we clamped thoracic aorta and removed the stent graft, then we replaced it with a prosthesis soaked in rifampicin, and an omental flap was transplanted around the prosthesis. The patient was discharged on the 62nd postoperative day without any complications. Stent grafting can be a very effective therapy for aortobronchial fistula. However, for some reasons such as infection or foreign bodies, open surgery is necessary. In such cases, Stent grafting and second-stage open surgery could be effective to prevent massive bleeding.
