Alternative Treatment for Residual Aortobronchial Fistula After Thoracic Endovascular Aortic Repair

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Abstract

A patient with an aortobronchial fistula secondary to a thoracic endovascular aortic repair was successfully treated with a re–thoracic endovascular aortic repair with debranching technique. Five months postoperatively, the aneurysm had shrunk; however, computed tomography revealed air in the thrombo-excluded aortic aneurysmal sac without signs of infection. Because of worsening air finding at the eighth month, we performed a resection of the residual fistula and wrapped the stent graft in a pedicled muscle flap.

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