ENDOVASCULAR STENTING OF AN AORTOPULMONARY FISTULA PRESENTING WITH HEMOPTYSIS - A CASE-REPORT

We present a 45 year old man with massive hemoptysis due to an aortopu lmonary fistula. Our patient had a history of a previous patent ductus arteriosus repair which was complicated by a previous aortopulmonary fistula. Computed tomography of the chest and aortography made the dia gnosis of a recurrent aortopulmonary fistula. Because of the history o f previous surgical aortic procedures, repair of the fistula was compl eted through a retroperitoneal aortotomy with intravascular insertion of an expandable stainless steel stent covered by a polyester graft. T he patient has had no hemoptysis or computed tomographic evidence of f istula recurrence thirty eight months after the procedure.