Hemoptysis in a patient with a previous surgical correction of a tetralogy of Fallot |
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Authors: | Quintana González J I Castrodeza Sanz R Heras F Gutiérrez V Guzmán Dávila G Ortiz de Saracho y Bobo J |
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Institution: | Sección de Neumología, Hospital del Bierzo, Ponferrada, León. |
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Abstract: | Aorto-bronchial fistula is a rare but associated with a height rare of mortality. Although most reported cases are secondary to infectious aneurysms, cases arising after surgery to correct congenital cardiovascular abnormalities have recently been described. We report the case of a 41-year-old patient with recurrent hemoptysis and a history of Fallot's tetralogy corrected in childhood. Given such a case of hemoptysis in a patient with a history of cardiovascular surgery, the correct diagnostic approach includes fiberoptic bronchoscopy, helicoidal CAT and/or NMR, and aortography. Diagnostic confirmation should be followed soon by corrective surgery. |
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