PMC5903330_01
CTA showing pseudoaneurysmal degeneration of the aortic graft with fistulous flow to the right upper lobe.
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fig1
Caucasian female presented to an outlying emergency department (ED) for one-hour history of massive hemoptysis. Computed tomographic angiography (CTA) was performed demonstrating pseudoaneurysmal degeneration of the aortic graft and fistulous flow to the right upper lobe (RUL) bronchus (Figure 1).
Aortic root angiogram with marker pigtail to verify sizing.
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fig2
After administration of general anesthesia, CT surgery performed exposure of the left subclavian artery, subsequently interventional cardiology cannulated the left subclavian artery with the modified Seldinger technique and a 6 Fr sheath was placed with advancement of a marker pigtail catheter and angiographic assessment for landing zones (Figure 2).
Aortic root angiogram showing placement of graft and postdeployment with cessation of fistulous flow.
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fig3
Repeat angiographic assessment revealed cessation of flow into the pseudoaneurysmal/fistulous segment (Figure 3).