Sterno-bronchial fistula – an extremely rare complication after coronary artery bypass grafting

Rafał Nowicki; Jakub Marczak; Andrzej Stachurski; Wojciech Kustrzycki

eISSN: 1897-4252
ISSN: 1731-5530

Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery

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3/2011
vol. 8

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abstract:

Sterno-bronchial fistula – an extremely rare complication after coronary artery bypass grafting

Rafał Nowicki

,

Jakub Marczak

,

Andrzej Stachurski

,

Wojciech Kustrzycki

Kardiochirurgia i Torakochirurgia Polska 2011; 8 (3): 345–347

Online publish date: 2011/09/30

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The incidence of complications following temporary epicardial pacing wires implantation remains low. Although rare, their late results may be unfavorable for the long-term operative outcome. The authors present a case of a 53-year-old male who developed a deep peristernal infection complicated by the formation of a sterno-bronchial fistula. Diagnosis, course, and possible causative factors are discussed. Retention of epicardial pacing wires as well as lung pleura laceration due to inadvertent metallic suture handling may play a role in the formation of sterno-bronchial fistula. We recommend a classic fistulography, with a simple drain fixed in the entry of the skin fistula as a route to administer the contrast medium, the diagnostic tool of choice while considering the above diagnosis.

keywords:

Sterno-bronchial fistula – an extremely rare complication after coronary artery bypass grafting

Rafał Nowicki , Jakub Marczak , Andrzej Stachurski , Wojciech Kustrzycki

coronary artery bypass, sternotomy, complications, sternobronchial fistula

Rafał Nowicki

,

Jakub Marczak

,

Andrzej Stachurski

,

Wojciech Kustrzycki