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Thorac Cardiovasc Surg 2001; 49(5): 310-311
DOI: 10.1055/s-2001-17799
Case Report
© Georg Thieme Verlag Stuttgart · New York

Near-Fatal Hemoptysis and Emergency Surgical Repair after Aortic Patch-Plasty

M.  Kamler1 , S.  Tuengerthal2 , H.  Rauch3 , S.  Hagl4 , H.  Jakob1
  • 1Department of Thoracic and Cardiovascular Surgery,
    University of Essen, Germany
  • 2Department of Radiology, Heidelberg Thorax Clinic;
  • 3Department of Anesthesiology, Ruprecht Karls University,
    Heidelberg, Germany
  • 4Department of Cardiac Surgery, Ruprecht Karls University,
    Heidelberg, Germany
Further Information

Publication History

Publication Date:
15 October 2001 (online)

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A 38-year-old man presented with massive hemoptysis followed by hemorrhage shock. The patient’s history revealed a Dacron patch repair for aortic coarctation and recoarctation carried out twice, once 23 and once 10 years ago. Diagnosis of a ruptured descending aortic aneurysm with an aortobronchial fistula into the left lower lobe was established using CT scan. Emergency surgery consisted of left pneumonectomy and descending aortic graft replacement during deep hypothermic circulatory arrest. The patient was discharged 12 days later.

Key words:

Hemoptysis - Aortobronchial fistula - Emergency surgery

References

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Received for Publication: November 9, 2000

Dr. Markus Kamler

University of Essen
Dept. of Thoracic and Cardiovascular Surgery

Hufelandstraße 55

45122 Essen, Germany

Phone: (49) (201) 723-34 02

Fax: (49) (201) 723-59 31

Email: Markus.Kamler@uni-essen.de