von Segesser LK Tkebuchava T Niederhäuser U Künzli A Lachat M Genoni M Vogt P Jenni R Turina MI 1997 OBJECTIVE Assess outcome of patients with descending thoracic aortic aneurysms complicated by aortobronchial and aortoesophageal fistulae in comparison to patients undergoing repair of aortic aneurysms without fistulae. METHODS In a consecutive series of 145 patients (age 60 +/- 12 years) with repair of descending thoracic and thoracoabdominal aortic aneurysms, 11 patients (8%; age 63 +/- 9; NS) primarily presented for hematemesis and/or hemoptysis. In 8/11 patients (73%) an aortobronchial fistula was identified, and 3/11 patients (27%) suffered from an aortoesophageal fistula. Five of 11 patients (45%) had undergone previous aortic surgery in the same region. RESULTS Extent of aortic segments (range 1-8) replaced was 3.1 +/- 1.4 for all versus 2.6 +/- 0.9 for fistulae (NS). Aortic cross clamp time was 38 +/- 22 min for all versus 45 +/- 15 min for fistulae (NS). Mortality at 30 days was 18/145 (12%) for all versus 16/134 (12%) without fistulae versus 2/11 (18%) with fistulae (NS). Paraparesis and or paraplegia was observed in 11/145 (8%) for all versus 10/134 (7%) without fistulae versus 1/11 (9%) for cases with fistulae (NS). Nine additional patients died after hospital discharge, seven without fistulae and two with fistulae (days 80, and 120) bringing the 1-year mortality up to 23/134 (17%) without fistulae versus 4/11 (36%) with fistulae (NS). Further analysis shows that the 1-year mortality accounts for 1/8 patients (13%) with aorto-bronchial fistulae versus to 3/3 patients (100%) with aorto-esophageal fistulae (esophageal versus bronchial fistula: P = 0.018; esophageal versus no fistula: P = 0.006). CONCLUSIONS Outcome of patients suffering from descending thoracic aortic aneurysms complicated by aorto-bronchial fistulae can be similar to that without fistulae, whereas for cases complicated by aorto-esophageal fistulae the prognosis seems to remain poor even after successful hospital discharge. application/pdf https://sonar.ch/global/documents/189411 eng info:eu-repo/semantics/altIdentifier/doi/10.1016/s1010-7940(97)00142-5 info:eu-repo/semantics/altIdentifier/pmid/9288506 info:eu-repo/semantics/openAccess European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. - 1997 Aged Analysis of Variance Aortic Aneurysm, Thoracic Aortic Diseases Bronchial Fistula Echocardiography Esophageal Fistula Female Humans Male Middle Aged Postoperative Complications Probability Prognosis Risk Factors Survival Rate Tomography, X-Ray Computed Aortobronchial and aortoesophageal fistulae as risk factors in surgery of descending thoracic aortic aneurysms. http://purl.org/coar/resource_type/c_6501