Abstract
BackgroundAortotracheal fistula (ATF) is an uncommon and fatal complication of tracheal or aortic surgery, especially among pediatric patients.Case presentationWe reported a case in a 1-year-old boy with dextrocardia, left pulmonary artery sling and long segment tracheal stenosis. He received slide tracheoplasty at 9 months of age and had post-operative refractory granulation at distal trachea status post repeated balloon dilatation and laser vaporization. Episodes of hemoptysis occurred on post-operative day 81. Bronchoscopy revealed a pulsating pseudoaneurysm at lower trachea which ruptured during the procedureUrgent surgical repair under cardiopulmonary bypass with deep hypothermic circulatory arrest was done. No recurrent bleeding or significant neurologic deficits noticed at a 4-month follow-up.ConclusionCongenital anomaly that changes the spatial relationship between trachea and aorta could have contributed to formation of ATF. This warrant future attention when managing tracheal granulation with this not uncommon anatomy.
Highlights
Aortotracheal fistula (ATF) is an uncommon and fatal complication of tracheal or aortic surgery, especially among pediatric patients.Case presentation: We reported a case in a 1-year-old boy with dextrocardia, left pulmonary artery sling and long segment tracheal stenosis
We presented an unusual case of ATF in a 1-year-old boy with dextrocardia, left pulmonary artery sling and
Combined the findings of bronchoscopy and computed tomography angiography (CTA), aortotracheal fistula was impressed and the patient was taken to operation theater for urgent repair
Summary
Aortotracheal fistula (ATF) is an uncommon and fatal complication of tracheal or aortic surgery, especially among pediatric patients.Case presentation: We reported a case in a 1-year-old boy with dextrocardia, left pulmonary artery sling and long segment tracheal stenosis. Background Aortotracheal fistula (ATF) is a rare and potentially fatal complication of aortic or tracheal surgery [1,2,3]. An early review of 62 adult patients found that 86% of the fistulas were between descending aortas and left bronchopulmonary trees [4].
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