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Surgery for concomitant aortoesophageal and aortobronchial fistula in tuberculous aortitis

Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, 50, Samdeok 2-ga, Jung-gu, Daegu 700-721, South Korea

^* Corresponding author. Tel.: +82-53-420-5675; fax: +82-53-426-4765
bay{at}knu.ac.kr

The fistulous formation of tuberculous aortic aneurysm with esophagus and bronchus is very rare and the prognosis is not good. Herein we report a patient who was presented with recurrent hematemesis and hemoptysis and diagnosed as concomitant aortoesophageal and aortobronchial fistula. We carried out left pneumonectomy, aortic graft replacement, and esophageal replacement with stomach simultaneously. Postoperative pathology showed tuberculous aortitis complicated by fistulous formation with esophagus and bronchus. Thirteen months after operation, she is doing well without hematemesis and hemoptysis.

Key Words: Aortic aneurysm; Tuberculosis; Aortoesophageal fistula; Aortobronchial fistula