R. Kessler et al., BRONCHIAL-PULMONARY ARTERY FISTULA AFTER UNILATERAL LUNG TRANSPLANTATION - A CASE-REPORT, The Journal of heart and lung transplantation, 16(6), 1997, pp. 674-677
Citations number
9
Categorie Soggetti
Cardiac & Cardiovascular System",Transplantation,"Respiratory System
We report on a right bronchial-pulmonary artery fistula resulting in f
atal hemoptysis in a 54-year-old man, 3 months after right unilateral
transplantation for end-stage emphysema. The posttransplantation perio
d was complicated by ulcerative tracheobronchial aspergillosis. Early
treatment with itraconazole was performed. All samples of bronchial wa
shing, bronchoalveolar lavage, and bronchial and transbronchial biopsy
specimens were free of aspergillus after 3 weeks of treatment. Necrop
sy showed a fistula between the right pulmonary artery and the main ri
ght bronchus, situated just beneath the suture line.