LATE DEVELOPMENT OF AORTIC PSEUDOANEURYSM AND AORTO - BRONCHIAL FISTULA AFTER COARCTATION REPAIR WITH PATCHPLASTY

Mustafa GÜLER, Cüneyt KELEŞ,Ercan EREN,Suat ERŞAHİN,Cevat YAKUT

Koşuyolu Kalp Eğitim ve Araştırma Hastanesi, Kalp Damar Cerrahisi Kliniği, İSTANBUL

Pseudoaneurysm and concomittant aortobronchial fistula formation following repair of coarctation with patchplasty is a rare but almost fatal if it is left untreated. Commonly, hemoptysis is an initial symptom. It is a possible occurence in a patient undergone previous thoracal aortic intervention as a complication, but it should be considered and treated with surgical intervention immediately. In this report, we presented a 42 years old male who was operated for coarctation of the aorta in another hospital 17 years ago and admitted to our institution with hemoptysis. A pseudoaneurysm resulting from the previous aortic patch repair was revealed and surgical treatment was performed for aneurysm and fistula. The postoperative course was uneventful and the patient was discharged without any complaint.

Keywords : Coarctation of the aorta, pseudoaneurysm, aorto-bronchial fistula

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