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Endovascular Management of an Aortobronchial Fistula Arising After Resection of a Primary Aortic Sarcoma

A Case Report

Division of Vascular Surgery; Columbia-Presbyterian Medical Center, New York, New York

Michael L. Marin, MD

Division of Vascular Surgery, Mount Sinai Medical Center, New York, New York, New York

Raja M. Flores, MD

Division of Vascular Surgery; Columbia-Presbyterian Medical Center, New York, New York

Craig R. Smith, MD

Division of Cardiothoracic Surgery, Columbia-Presbyterian Medical Center, New York, New York

Eric C. Martin, MD

Division of Radiology, Columbia-Presbyterian Medical Center, New York, New York

George J. Todd, MD

Division of Vascular Surgery, Columbia-Presbyterian Medical Center,161.Fort Washington Avenue, New York, NY 10032

The experience with the use of endovascular covered stents for aortic lesions has been growing. The early results of using endovascular covered stents for the exclusion of thoracic and infrarenal abdominal aortic aneurysms have been promising and are being investigated in multiple ongoing trials. Their usage for other aortic lesions has been reported sporadically, often as resourceful options in unusual and difficult clinical situations. The authors report a patient who had previously undergone resection of a thoracic aortic sarcoma and subsequently presented in extremis from an aortobronchial fistula. The evaluation and treatment of an aortic sarcoma and the successful urgent exclusion of an aortobronchial fistula through use of an endovascular covered stent are discussed.

Vascular and Endovascular Surgery, Vol. 35, No. 1, 73-79 (2001)
DOI: 10.1177/153857440103500116


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