{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T19:09:10Z","timestamp":1778180950566,"version":"3.51.4"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Aortobronchial fistulas (ABFs) are rare but potentially life-threatening conditions, often presenting with haemoptysis. They can develop following various thoracic aortic conditions or procedures.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case Presentation<\/jats:title>\n                  <jats:p>A 70-year-old patient with a history of descending aorta replacement and ischaemic stroke presented with chest pain and upper gastrointestinal bleeding. Imaging revealed a fistula between the aortic prosthesis and the lung, along with other cardiovascular abnormalities. Despite the indication for anticoagulant therapy, tranexamic acid was initiated due to bleeding risk. The patient showed clinical improvement with tranexamic acid treatment but experienced recurrence of bleeding after discontinuation. Endovascular treatment for the contained rupture at the proximal stent anastomosis was indicated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Haemoptysis is the primary symptom of ABFs, often recurring until the fistula enlarges. Postoperative aortic fistulas into the airways are uncommon and can occur years after surgery. Thoracic endovascular aortic repair has become the primary treatment for high-risk patients with thoracic aortic disease. Various diagnostic modalities can visualize a fistula tract, but practical visualization is rare. Untreated ABFs invariably lead to death.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This case highlights the challenges in diagnosing and managing ABFs, emphasizing the need for a multidisciplinary approach and regular follow-up. Patient education and prompt reporting of symptoms are essential. Early intervention upon suspicion of recurrence is crucial for optimizing patient outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae437","type":"journal-article","created":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T11:46:45Z","timestamp":1725191205000},"source":"Crossref","is-referenced-by-count":1,"title":["Challenges in diagnosis and management of aortobronchial fistula: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4380-404X","authenticated-orcid":false,"given":"Mohamed Hamza","family":"Abaydi","sequence":"first","affiliation":[{"name":"Cardiology Department, Mohamed VI University Hospital of Tangier; Abdelmalek Essaadi University Faculty of Medicine and Pharmacy , Street of Rabat, Km 17, BP 398, 90100 Tangier ,","place":["Morocco"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Safae","family":"Dhimene","sequence":"additional","affiliation":[{"name":"Cardiology Department, Mohamed VI University Hospital of Tangier; Abdelmalek Essaadi University Faculty of Medicine and Pharmacy , Street of Rabat, Km 17, BP 398, 90100 Tangier ,","place":["Morocco"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amine","family":"Ech-chenbouli","sequence":"additional","affiliation":[{"name":"Cardiology Department, Mohamed VI University Hospital of Tangier; Abdelmalek Essaadi University Faculty of Medicine and Pharmacy , Street of Rabat, Km 17, BP 398, 90100 Tangier ,","place":["Morocco"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7931-1615","authenticated-orcid":false,"given":"Badre","family":"El Boussaadani","sequence":"additional","affiliation":[{"name":"Cardiology Department, Mohamed VI University Hospital of Tangier; Abdelmalek Essaadi University Faculty of Medicine and Pharmacy , Street of Rabat, Km 17, BP 398, 90100 Tangier ,","place":["Morocco"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zainab","family":"Raissuni","sequence":"additional","affiliation":[{"name":"Cardiology Department, Mohamed VI University Hospital of Tangier; Abdelmalek Essaadi University Faculty of Medicine and Pharmacy , Street of Rabat, Km 17, BP 398, 90100 Tangier ,","place":["Morocco"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,9,1]]},"reference":[{"key":"2024093011562384400_ytae437-B1","doi-asserted-by":"crossref","first-page":"1998","DOI":"10.1016\/S0003-4975(02)04837-3","article-title":"Postoperative aortic fistulas into the airways: etiology, pathogenesis, presentation, diagnosis, and management","volume":"75","author":"Picich\u00e8","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"2024093011562384400_ytae437-B2","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.ejvs.2009.12.007","article-title":"Aorto-oesophageal and aortobronchial fistulae following thoracic endovascular aortic repair: a national survey","volume":"39","author":"Chiesa","year":"2010","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2024093011562384400_ytae437-B3","doi-asserted-by":"crossref","first-page":"1729","DOI":"10.1056\/NEJM199412293312601","article-title":"Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms","volume":"331","author":"Dake","year":"1994","journal-title":"N Engl J Med"},{"key":"2024093011562384400_ytae437-B4","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1093\/ejcts\/ezu443","article-title":"Aorto-bronchial and aorto-pulmonary fistulation after thoracic endovascular aortic repair: an analysis from the European Registry of Endovascular Aortic Repair Complications","volume":"48","author":"Czerny","year":"2015","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/9\/ytae437\/59450746\/ytae437.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/9\/ytae437\/59450746\/ytae437.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T11:56:33Z","timestamp":1727697393000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytae437\/7745856"}},"subtitle":[],"editor":[{"given":"Can","family":"Gollmann-Tepek\u00f6yl\u00fc","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Nikesh","family":"Jathanna","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,9,1]]},"references-count":4,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytae437","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,9]]},"published":{"date-parts":[[2024,9,1]]},"article-number":"ytae437"}}