Abstract

A 59-year-old woman with a brachiocephalic fistula underwent balloon dilation of a stenosis to 5-mm diameter (Fig 1) and subsequent 5-mm × 5-cm stent graft placement (VIABAHN, Gore, Flagstaff, Arizona) (Fig 1). An attempt was made to postdilate the stent graft to 6 mm. Three months later, fistulography for recurrent dysfunction revealed disappearance of the stent graft. Fluoroscopy and contrast-enhanced computed tomography scan showed that the stent graft had migrated to a right lower lobe pulmonary artery branch and remained patent (Fig 2a, b).

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