Abstract
Aortotracheobronchial (A-T-B) fistulas are very rare and usually cause massive hemoptysis. Mediastinal vascular fistula involving the trachea or bronchi most commonly occurs as a result of atherosclerotic aneurysms, tracheal or carinal grafting, trauma, mediastinal neoplasms, or open vascular grafting. Thoracic aortic aneurysms (primary or secondary), pseudoaneurysms, and vascular anastomosis erosion and graft infection are the usual causes for these vascular fistula lesions. Accurate diagnosis using CTA, MRI, or angiography will establish the diagnosis in most patients. Surgical treatment leads to the best survival, and many use the endograft, either as a temporizing or a definitive treatment, as their preferred initial approach. Secondary aortocutaneous fistulas due to graft infection are very rare.
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We appreciate the assistance of the librarian Julie Stielstra, Library Director of Northwestern at Central DuPage Hospital Knowledge Resource Library in Winfield, Illinois, and that of the chapter organizer and typist Lynn Murawski.
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Dieter, R.A., Dieter, R.A., Kuzycz, G.B., Schwartz, J.P., Bakhos, M. (2019). Aortotracheobronchial and Aortocutaneous Fistula. In: Dieter, R., Dieter Jr., R., Dieter III, R. (eds) Diseases of the Aorta . Springer, Cham. https://doi.org/10.1007/978-3-030-11322-3_25
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DOI: https://doi.org/10.1007/978-3-030-11322-3_25
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