Massive hemoptysis, a presentation of invasion of aneurysm of descending aorta to bronchopulmonary tree.

Ahmadi, Zargham Hossein; Ansari Aval, Zahra; Saghebi, Seyed Reza; Kianfar, Amir Abbas; Hashemian, Seyed MohammadReza; Kahkouee, Shahram; Roozdar, Sepehr; Naderi, Hadi

Massive hemoptysis, a presentation of invasion of aneurysm of descending aorta to bronchopulmonary tree.

Date

2014-11-04

Authors

Ahmadi, Zargham Hossein

Ansari Aval, Zahra

Saghebi, Seyed Reza

Kianfar, Amir Abbas

Hashemian, Seyed MohammadReza

Kahkouee, Shahram

Roozdar, Sepehr

Naderi, Hadi

Abstract

Aortobronchial AB fistula is a rare disease which is presented with massive hemoptysis lethal if not treated It should be suspected in any patient who presents with massive hemoptysis and had previous thoracic aortic surgery but even it may be seen in patients without any history of operation on the thoracic aorta Although today in many centers endovascular therapy is done for these patients but it is not the standard approach Surgery in urgent situations has an essential role in saving the patients Operative management consists of double lumen intubation and one lung ventilation followed by femoral artery and vein cannulation posterolateral thoracotomy and achieving proximal and distal control on the aorta applying cardiopulmonary bypass CPB separation the lesion and bypass the segment of the diseased aorta by a synthetic graft