Thoracic endovascular aortic repair for aortobronchial fistula

Ann Thorac Surg. 2013 Sep;96(3):1117-21. doi: 10.1016/j.athoracsur.2013.04.090. Epub 2013 Aug 2.

Abstract

The objective was to provide a systematic review of outcomes of thoracic endovascular aortic repair for aortobronchial fistula. A literature search identified 134 patients. The technical success rate was 93.2%. The overall 30-day mortality was 5.9%. After a mean follow-up of 17.4 months, the aortic-related mortality was 14.3%. Recurrence of the aortobronchial fistula was observed in 11.1% of the patients. Thoracic endovascular aortic repair of aortobronchial fistulas appears to be a viable alternative with excellent short-term results. Strict follow-up and aggressive adjunctive measures are needed to treat ongoing infection to prevent late related mortality.

Keywords: 15; 26.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Aged
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation / methods
  • Blood Vessel Prosthesis Implantation / mortality
  • Bronchial Fistula / diagnostic imaging
  • Bronchial Fistula / mortality
  • Bronchial Fistula / surgery*
  • Endovascular Procedures / methods*
  • Endovascular Procedures / mortality
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Risk Assessment
  • Survival Rate
  • Time Factors
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome
  • Vascular Fistula / diagnostic imaging
  • Vascular Fistula / mortality
  • Vascular Fistula / surgery*