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Vol. 41. Issue 6.
Pages 352-354 (June 2005)
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Vol. 41. Issue 6.
Pages 352-354 (June 2005)
Case Reports
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Recurrent Hemoptysis Secondary to an Aortobronchial Fistula
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A. Algaba Calderóna, B. Jara Chinarrob,
Corresponding author
beat1089@separ.es

Correspondence: Dra. B. Jara Chinarro. Servicio de Neumología. Hospital Universitario de Getafe. Ctra. de Toledo, km 12,500. 29805 Getafe. Madrid. España
, A. Abad Fernándezb, O. Isidoro Navarreteb, A. Ramos Martosb, M.A. Juretschke Moraguesb
a Servicio de Cuidados Intensivos, Hospital Universitario de Getafe, Getafe, Madrid, Spain
b Servicio de Neumología, Hospital Universitario de Getafe, Getafe, Madrid, Spain
Article information

Aortobronchial fistula is a rare but serious cause of hemoptysis. It can develop from an aneurysm of the descending thoracic aorta in the context of infections or it may appear as a sequel of surgical repair of congenital heart defects. Presenting symptoms include mild bronchial hemorrhages and recurrent chest pain, culminating in a normally fatal massive hemorrhage. Diagnosis by imaging is not always conclusive and clinical suspicion based on medical history is essential. Surgical placement of an endovascular stent graft is the treatment of choice. Post-surgical prognosis is good although there is a risk of recurrence in the case of superinfection.

Key words:
Hemoptysis
Aortobronchial fistula
Endovascular stent

La fístula aortobronquial es una causa rara pero grave de hemoptisis. Se produce como evolución de un aneurisma de la aorta torácica descendente en procesos infecciosos o tras la reparación quirúrgica de cardiopatías congénitas. Se suele manifestar con episodios de hemorragia bronquial leve y dolor torácico recurrentes, hasta la aparición de una hemoptisis masiva, mortal en la mayoría de los casos. El diagnóstico definitivo por técnicas de imagen no siempre es posible, por lo que es fundamental la sospecha clínica tras una anamnesis adecuada. El tratamiento de elección es quirúrgico, me-diante la colocación de una prótesis endovascular. El pronóstico tras la intervención es bueno, aunque con riesgo de recurrencia si se produce una sobreinfección.

Palabras clave:
Hemoptisis
Fístula aortobronquial
Prótesis endovascular
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Copyright © 2005. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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