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1.
Kyobu Geka ; 72(13): 1093-1096, 2019 Dec.
Artigo em Japonês | MEDLINE | ID: mdl-31879387

RESUMO

The patient was a 52-year-old man who had undergone total arch replacement for type A aortic dissection 2 months before. He was admitted to our hospital with hemoptysis due to aortobronchial fistula. We planned to perform 1-stage open chest surgery, but he passed away before the surgery. We considered that earlier open surgery or emergency endovascular stent grafting might have been effective in avoiding this result.


Assuntos
Aneurisma Dissecante , Aneurisma da Aorta Torácica , Implante de Prótese Vascular , Fístula Brônquica , Implante de Prótese Vascular/efeitos adversos , Fístula Brônquica/etiologia , Emergências , Hemoptise , Humanos , Masculino , Pessoa de Meia-Idade , Stents
2.
J Cardiothorac Surg ; 14(1): 190, 2019 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-31699118

RESUMO

BACKGROUND: Intermediate bronchial fistula formation caused by mediastinal drainage tube compression and fungal infection is rare. CASE PRESENTATION: A 50-year-old male patient with type 2 diabetes was observed air filling in mediastinal drainage tube, 12 days after esophagectomy for esophageal squamous carcinoma. Based on the results of computed tomography, bronchoscopy and pathology, the diagnosis of intermediate bronchial fistula caused by mediastinal drainage tube compression and fungal infection was made. Anti-fungal drug and temporary covered metallic stent was used. After stent removed, the fistula was healed with some granulation hyperplasia. He was free from respiratory symptom during 1 year follow-up. CONCLUSION: Intermediate bronchial fistula caused by the combination of mediastinal drainage tube compression and fungal infection is rare. Timely stenting could boost the healing of fistula via granulation tissue proliferation.


Assuntos
Fístula Brônquica/etiologia , Drenagem/instrumentação , Micoses/etiologia , Cuidados Pós-Operatórios/instrumentação , Complicações Pós-Operatórias/etiologia , Doenças da Traqueia/etiologia , Fístula Brônquica/diagnóstico , Fístula Brônquica/terapia , Drenagem/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Micoses/diagnóstico , Micoses/terapia , Cuidados Pós-Operatórios/efeitos adversos , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/terapia , Stents Metálicos Autoexpansíveis , Doenças da Traqueia/diagnóstico , Doenças da Traqueia/terapia
4.
Khirurgiia (Mosk) ; (9): 5-12, 2019.
Artigo em Inglês, Russo | MEDLINE | ID: mdl-31532160

RESUMO

OBJECTIVE: To assess severity, safety and functional advisability of distal pancreatectomy using original surgical technique developed in the Blokhin National Medical Research Centre of Oncology. MATERIAL AND METHODS: There were 10 patients with duodenal malignancies who have undergone distal pancreatectomy in the Blokhin National Medical Research Centre of Oncology for the period 2006-2018. Distal pancreatectomy for primary duodenal tumors was performed in 8 patients, 2 patients underwent surgery for external invasion of the duodenum. RESULTS: Postoperative complications Clavien-Dindo grade 1 and 2 occurred in 4 (40%) patients. Surgical complication grade 2 occurred in 1 (10%) patient (pancreatic fistula with effective conservative management). There were no cases of leakage of duodenal stump and duodenojejunostomy, impaired bile flow and stenosis of anastomosis with delayed stomach emptying. CONCLUSION: Distal duodenectomyis associated with low postoperative morbidity, good functionality and quality of life. This procedure is preferred for non-epithelial and neuroendocrine tumors, as well as with secondary malignant duodenal invasion.


Assuntos
Fístula Brônquica/cirurgia , Empiema Pleural/cirurgia , Pneumopatias/cirurgia , Pneumonectomia/efeitos adversos , Fístula Brônquica/diagnóstico , Fístula Brônquica/etiologia , Doença Crônica , Empiema Pleural/diagnóstico , Empiema Pleural/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Pleurais/diagnóstico , Doenças Pleurais/etiologia , Doenças Pleurais/cirurgia , Pneumonectomia/mortalidade , Recidiva , Reprodutibilidade dos Testes , Fístula do Sistema Respiratório/diagnóstico , Fístula do Sistema Respiratório/etiologia , Fístula do Sistema Respiratório/cirurgia , Retalhos Cirúrgicos/transplante
5.
Khirurgiia (Mosk) ; (6): 101-106, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31317948

RESUMO

Aorto-esophageal and aorto-bronchial fistulas are rare and life-threatening diseases if emergency treatment is absent. The most of publications devoted to this problem are case reports describing successful treatment of patients with aorto-esophageal and aorto-bronchial fistulas by using of endovascular or open transthoracic surgery. However, we did not find reports of several aortic fistulas in a patient after previous aortic stenting. It is presented case report of patient with aorto-esophago-bronchial and aorto-pulmonary fistulas in postoperative period after thoracic endovascular aortic repair (TEVAR).


Assuntos
Aneurisma da Aorta Torácica/cirurgia , Fístula Brônquica/etiologia , Procedimentos Endovasculares/efeitos adversos , Fístula Esofágica/etiologia , Pneumopatias/etiologia , Fístula Vascular/etiologia , Aneurisma da Aorta Torácica/complicações , Doenças da Aorta/etiologia , Doenças da Aorta/cirurgia , Fístula Brônquica/cirurgia , Procedimentos Endovasculares/métodos , Fístula Esofágica/cirurgia , Humanos , Pneumopatias/cirurgia , Fístula do Sistema Respiratório/etiologia , Fístula do Sistema Respiratório/cirurgia , Fístula Vascular/cirurgia
6.
Medicine (Baltimore) ; 98(26): e16228, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31261579

RESUMO

RATIONALE: Late-onset bronchopleural fistula (BPF) induced by chemotherapy after lobectomy for lung cancer is rarely reported, lacking reliable preventive approaches. A timely identification and individualized treatment is essential for prognosis. PATIENT CONCERNS: A 52-year-old female patient complained of fever, productive cough, and fatigue 1 week after adjuvant chemotherapy following right lower lobectomy and systemic mediastinal lymph node dissection. Chest computed tomography (CT) indicated pneumothorax and thick-walled empyema cavity within her right-sided thorax. DIAGNOSES: The patient was diagnosed as late-onset BPF based on clinical manifestation and chest radiography. INTERVENTIONS: In addition to antibiotics, a chest tube was reinserted under CT guidance, and vacuum suction was utilized for continuous drainage. Next cycle of adjuvant chemotherapy was terminated. OUTCOMES: The empyema cavity was gradually closed in 1 month after conservative treatment, and the patient survived with good condition up to now. LESSONS: Late-onset BPF should be kept in mind when the patient suffered from productive cough and chills during postoperative chemotherapy. And a prompt conservative management might be effective.


Assuntos
Fístula Brônquica/etiologia , Quimioterapia Adjuvante/efeitos adversos , Neoplasias Pulmonares/terapia , Doenças Pleurais/etiologia , Pneumonectomia/efeitos adversos , Complicações Pós-Operatórias/etiologia , Feminino , Humanos , Pessoa de Meia-Idade , Fatores de Tempo
8.
Khirurgiia (Mosk) ; (7): 5-9, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31355807

RESUMO

OBJECTIVE: To present our experience in the treatment of patients with bronchopleural fistula and chronic non-specific pleural empyema after pneumonectomy. MATERIAL AND METHODS: There were 25 patients with chronic pleural empyema following bronchopleural fistula after pneumonectomy. All patients were examined in standard fashion and divided into two groups depending on length of bronchial stump: more or equal to 20 mm and less than 20 mm. Transsternal occlusion of bronchial stump was performed in the 1st group. Pedicled muscle or omental flap was applied for bronchial stump repair in the 2nd group. RESULTS: Follow-up period ranged from 18 to 110 months (median 48 (19; 52) months). Complications were grade daccording to Clavien-Dindo classification. Infectious complications not associated with bronchial stump insufficiency and required antibiotic therapy and/or topical treatment were registered in 6 (24%) out of 25 patients (95% CI 11.5-43.4): suppurative tracheobronchitis, pneumonia, postoperative wound suppuration in 1 (4%), 2 (8%) and 3 (12%) patients, respectively. Overall mortality rate was 2 (8%) out of 25 patients. There were no recurrences after transsternal occlusion of bronchial stump. In the control group, recurrent bronchopleural fistula was noted in 2 (12.5%) out of 16 patients (95% CI 3.5-36). Mean hospital-stay was 13 (13; 16) and 20 (11; 35) days in both groups, respectively (p<0.05). A good and satisfactory result after transsternal occlusion of bronchial stump was achieved in 23 (92%) out of 25 patients (95% CI 75-97.8). CONCLUSION: Transsternal occlusion of bronchial stump is more advisable than tissue flap transposition in patients with chronic pleural empyema followed by BPF and bronchial stump length over 20 mm due to less trauma and good reproducibility.


Assuntos
Brônquios/cirurgia , Fístula Brônquica/cirurgia , Doenças Pleurais/cirurgia , Pneumonectomia/efeitos adversos , Fístula Brônquica/etiologia , Empiema Pleural/etiologia , Empiema Pleural/cirurgia , Humanos , Recidiva Local de Neoplasia , Doenças Pleurais/etiologia , Reoperação , Reprodutibilidade dos Testes , Esternotomia , Retalhos Cirúrgicos , Procedimentos Cirúrgicos Torácicos/métodos
9.
J Cardiothorac Surg ; 14(1): 73, 2019 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-30971283

RESUMO

BACKGROUND: Acquired benign bronchoesophageal fistula (BEF) is rare and develops as a complication of other diseases, mostly of inflammatory processes and traumas of the chest. The treatment of choice is a surgical repair, which is considered definitive and leads to successful outcomes. However, incidence of recurrence after the primary repair based on limited data is up to 10% and its treatment is challenging. We report a surgical case of a patient with recurrent acquired benign BEF after primary resection and ensuing successful definitive repair with esophageal bypass surgery after temporary esophageal stenting. CASE REPORT: A 46-year-old male was referred to our department with a symptomatic left-sided bronchoesophageal fistula as a complication of severe acute necrotizing mediastinitis that originated from odontogenic abscess. Previously, several cervicotomies and bilateral thoracotomy were performed at an external medical facility to manage the acute condition. We performed resection of the fistula through re-thoracotomy. Postprocedural esophagography demonstrated a recurrence of bronchoesophageal communication. Postinflammatory adhesions excluded further repair through thoracotomy, therefore a stent was introduced in the esophagus for 12 weeks. Thereafter, an esophageal bypass surgery using a substernaly interposed gastric conduit was performed and resulted in an excellent long-term outcome. CONCLUSIONS: Esophageal bypass surgery using a substernaly interposed gastric conduit may be considered if the standard surgical repair of acquired benign bronchoesophageal fistula is not successful or feasible.


Assuntos
Fístula Brônquica/cirurgia , Fístula Esofágica/cirurgia , Esôfago/cirurgia , Estômago/cirurgia , Anastomose Cirúrgica/efeitos adversos , Anastomose Cirúrgica/métodos , Fístula Brônquica/diagnóstico por imagem , Fístula Brônquica/etiologia , Fístula Esofágica/diagnóstico por imagem , Fístula Esofágica/etiologia , Humanos , Masculino , Mediastinite/complicações , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Recidiva , Stents , Toracotomia/efeitos adversos , Aderências Teciduais
11.
Ann Vasc Surg ; 59: 309.e11-309.e14, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30825509

RESUMO

Secondary aortobronchial fistula (ABF) is an uncommon clinical entity associated with increased mortality. Most common presentation is hemoptysis, ranging from repetitive self-limiting episodes to massive hematemesis. Mediastinitis (if present) and excessive blood loss burden the unfavorable case of ABF, whereas stent-graft contamination and sepsis are the main concerns regarding endovascular therapy. We are presenting two patients with secondary ABF treated with thoracic endovascular repair who completed long-term follow-up without complications or evidence of infection.


Assuntos
Falso Aneurisma/cirurgia , Aneurisma da Aorta Torácica/cirurgia , Doenças da Aorta/cirurgia , Implante de Prótese Vascular , Fístula Brônquica/cirurgia , Procedimentos Endovasculares , Fístula Vascular/cirurgia , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/etiologia , Angiografia Digital , Aneurisma da Aorta Torácica/diagnóstico por imagem , Aneurisma da Aorta Torácica/etiologia , Doenças da Aorta/diagnóstico por imagem , Doenças da Aorta/etiologia , Aortografia/métodos , Implante de Prótese Vascular/efeitos adversos , Implante de Prótese Vascular/instrumentação , Fístula Brônquica/diagnóstico por imagem , Fístula Brônquica/etiologia , Angiografia por Tomografia Computadorizada , Procedimentos Endovasculares/instrumentação , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Tempo , Resultado do Tratamento , Fístula Vascular/diagnóstico por imagem , Fístula Vascular/etiologia
12.
Cardiovasc Intervent Radiol ; 42(6): 927-930, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30737543

RESUMO

Gastrobronchial fistula that involves the right intermediate bronchus is an extremely rare complication of esophagectomy. In this report, two patients with gastrobronchial fistulas around the secondary right carina were treated by combined Y-shaped covered metallic stents. Four covered stents were inserted successfully at the first attempt with no complications. The gastrobronchial fistula was fully sealed in each patient, and they were able to eat without coughing.


Assuntos
Fístula Brônquica/cirurgia , Esofagectomia/efeitos adversos , Fístula Gástrica/cirurgia , Stents , Brônquios/diagnóstico por imagem , Brônquios/cirurgia , Fístula Brônquica/diagnóstico por imagem , Fístula Brônquica/etiologia , Desenho de Equipamento , Feminino , Fístula Gástrica/diagnóstico por imagem , Fístula Gástrica/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X , Resultado do Tratamento
14.
Am J Case Rep ; 20: 31-35, 2019 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-30617249

RESUMO

BACKGROUND Bariatric operations have been gaining more ground over the past decade. The most commonly used bariatric operation is the laparoscopic sleeve gastrectomy. A complication of laparoscopic sleeve gastrectomy is gastric leak; which can rarely cause a primary subphrenic abscess and a secondary diaphragm rupture that will lead eventually to a gastrobronchial fistula. CASE REPORT We present the case of a 32-year-old patient who started having symptoms suggestive of gastrobronchial fistula at 2 months following laparoscopic sleeve gastrectomy. CONCLUSIONS The treatment of a gastrobronchial fistula is controversial as this complication is rarely covered in published studies. Our expert opinion for this patient case was to opt for a surgical approach seeing that the complexity and severity of the fistula had a low chance of subsiding after only conservative measures.


Assuntos
Fístula Brônquica/etiologia , Gastrectomia/efeitos adversos , Fístula Gástrica/etiologia , Laparoscopia/efeitos adversos , Adulto , Fístula Brônquica/diagnóstico , Fístula Brônquica/cirurgia , Tosse/etiologia , Dispneia/etiologia , Feminino , Fístula Gástrica/diagnóstico , Fístula Gástrica/cirurgia , Humanos
16.
Asian Cardiovasc Thorac Ann ; 27(2): 93-97, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30525867

RESUMO

BACKGROUND: Pulmonary resection is, by far, the primary cause of bronchial fistula. This is a severe complication because of its morbidity and mortality and the related consumption of resources. Definitive closure continues to be a challenge with several therapeutic options, but none are optimal. We describe our experience in bronchoscopic application of ethanolamine and lauromacrogol 400 for the treatment of post-resection bronchial fistulas. METHODS: Clinical records of 8 patients treated using this technique were collected prospectively. The diagnosis of a fistula was confirmed by flexible bronchoscopy. Sclerosis was indicated in the context of multimodal treatment. Sclerosant injection was performed under general anesthesia with a Wang 22G needle through a flexible bronchoscope. The procedure was repeated at 2-week intervals until definitive closure of the fistula was confirmed. RESULTS: Fistula closure was achieved in 7 (87.5%) of the 8 patients, with persistence of the fistula in one patient who could not complete the treatment because of recurrence of his neoplastic pathology. No recurrence or complications related to the technique were registered. CONCLUSIONS: Bronchoscopic sclerosis by means of submucosal injection of lauromacrogol 400 or ethanolamine should be part of the multimodal treatment of bronchopleural fistula after lung resection, pending further studies that contribute to the accurate establishment of optimal indications for this procedure.


Assuntos
Fístula Brônquica/terapia , Broncoscopia , Etanolamina/administração & dosagem , Pneumonectomia/efeitos adversos , Polidocanol/administração & dosagem , Soluções Esclerosantes/administração & dosagem , Escleroterapia/métodos , Idoso , Fístula Brônquica/diagnóstico por imagem , Fístula Brônquica/etiologia , Broncoscopia/efeitos adversos , Etanolamina/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Polidocanol/efeitos adversos , Estudos Prospectivos , Soluções Esclerosantes/efeitos adversos , Escleroterapia/efeitos adversos , Fatores de Tempo , Resultado do Tratamento
17.
Infection ; 47(3): 483-487, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30417214

RESUMO

INTRODUCTION: Broncho-esophageal fistula formation is a rare complication of tuberculosis, most often seen in immunocompromised patients. METHODS AND RESULTS: In this paper, we report the case of a young non-immunocompromised refugee from Somalia diagnosed with open pulmonary tuberculosis complicated by extensive osseous involvement and a broncho-esophageal fistula with consecutive aspiration of gastric contents. The patient rapidly developed a severe acute respiratory distress syndrome (ARDS) requiring venovenous extracorporeal membrane oxygenation (ECMO) therapy for nearly 2 months. The fistula was initially treated by standard antituberculous combination therapy and implantation of an esophageal and a bronchial stent. Long-term antibiotic treatment was instituted for pneumonia and mediastinitis. 7 months later, discontinuity resection of the esophagus was performed and the bronchial fistula covered by an intercostal muscle flap. DISCUSSION: This case illustrates that tuberculosis should always be suspected in patients from high-incidence countries in case of lung involvement and that an interdisciplinary approach including long-term intensive care management can enable successful treatment of tuberculosis with severe, near-fatal complications.


Assuntos
Fístula Brônquica/tratamento farmacológico , Fístula Esofágica/tratamento farmacológico , Síndrome do Desconforto Respiratório do Adulto/tratamento farmacológico , Tuberculose/complicações , Adulto , Fístula Brônquica/diagnóstico , Fístula Brônquica/etiologia , Fístula Brônquica/cirurgia , Fístula Esofágica/diagnóstico , Fístula Esofágica/etiologia , Fístula Esofágica/cirurgia , Oxigenação por Membrana Extracorpórea , Alemanha , Humanos , Masculino , Mediastinite/tratamento farmacológico , Pneumonia/tratamento farmacológico , Refugiados , Síndrome do Desconforto Respiratório do Adulto/diagnóstico , Síndrome do Desconforto Respiratório do Adulto/etiologia , Somália/etnologia , Tuberculose/diagnóstico
18.
Gastrointest Endosc ; 89(4): 671-679.e1, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30529441

RESUMO

BACKGROUND: Endoscopy has evolved to become first-line therapy for the treatment of post-bariatric leaks; however, many sessions are often required with variable success rates. Due to these limitations, the use of the cardiac septal defect occluder (CSDO) has recently been reported in this population. METHODS: The study population was a multicenter retrospective series of patients with post-bariatric surgical leaks who underwent treatment with CSDO placement. Data on the type of surgery, previous treatment details, fistula dimensions, success rate, and adverse events were collected. Leaks were grouped according to the International Sleeve Gastrectomy Expert Panel Consensus. Outcomes included technical and clinical success and safety of the CSDO. Regression analysis was performed to determine the predictors of response. RESULTS: Forty-three patients with leaks were included (31 sleeve gastrectomy and 12 Roux-en-Y gastric bypass). They were divided into acute (n = 3), early (n = 5), late (n = 23), and chronic (n = 12). Forty patients had failed previous endoscopic treatment and 3 patients had CSDO as the primary treatment. Median follow-up was 34 weeks. Technical success was achieved in all patients and clinical success in 39 patients (90.7%). All chronic, late, and early leaks were successfully closed, except one undrained late leak. The 5 patients with early leaks had an initial satisfactory response, but within 30 days, drainage recurred. The CSDOs were removed and replaced with larger-diameter devices leading to permanent defect closure. Acute leaks were not successfully closed in all 3 patients. Regression analysis showed that chronicity and previous treatment were associated with fistula closure; success rates for late/chronic leaks versus acute/early leaks were 97.1% and 62.5%, respectively (P = .0023). CONCLUSION: This observational study found that the CSDO had a high efficacy rate in patients with non-acute leaks, with no adverse events. All early, late, and chronic leaks were successfully closed, except for one undrained late leak. However, early leaks required a second placement of a larger CSDO in all cases. These results suggest that the CSDO should be considered for non-acute fistula and that traditional closure methods are likely preferred in the acute and early settings.


Assuntos
Fístula Anastomótica/cirurgia , Fístula Brônquica/cirurgia , Fístula Cutânea/cirurgia , Fístula Gástrica/cirurgia , Dispositivo para Oclusão Septal , Doença Aguda , Adulto , Fístula Anastomótica/etiologia , Fístula Brônquica/etiologia , Doença Crônica , Fístula Cutânea/etiologia , Endoscopia Gastrointestinal/métodos , Feminino , Gastrectomia/efeitos adversos , Derivação Gástrica/efeitos adversos , Fístula Gástrica/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Reoperação , Estudos Retrospectivos , Dispositivo para Oclusão Septal/efeitos adversos , Fatores de Tempo , Resultado do Tratamento
19.
Chest ; 154(6): e181-e185, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30526987

RESUMO

CASE PRESENTATION: A 57-year-old man was admitted for 1 month of accelerating hemoptysis and hematemesis. Two weeks earlier, he first presented with fevers and hemoptysis of 2 weeks' duration and was diagnosed with community-acquired pneumonia treated with 5 days of ceftriaxone and azithromycin. He improved and was discharged, but his hemoptysis recurred 1 day after discharge and progressed over 9 days, leading to the present admission. He endorsed an 5-kg weight loss, daily fevers up to 39.4°C, and night sweats since discharge. His medical history was significant for peptic ulcer disease complicated by a perforated gastric ulcer 30 years ago, type 2 diabetes, and Barrett esophagus with recent normal upper endoscopy. The patient had coarctation of the aorta repaired 35 years ago. The patient takes aspirin, atorvastatin, and pantoprazole. He emigrated from Mexico 10 years before presentation and lives in Texas with his family. He returns to Mexico several times per year, most recently 2 days before admission. He works at a supermarket. He does not smoke, drink, or use illicit drugs. He denied sick contacts, pets, or incarceration.


Assuntos
Antibacterianos/administração & dosagem , Coartação Aórtica/cirurgia , Fístula Brônquica , Hematemese , Hemoptise , Infecções Relacionadas à Prótese , Reoperação/métodos , Fístula Vascular , Aorta Torácica/diagnóstico por imagem , Prótese Vascular/efeitos adversos , Prótese Vascular/microbiologia , Fístula Brônquica/diagnóstico , Fístula Brônquica/etiologia , Fístula Brônquica/fisiopatologia , Angiografia por Tomografia Computadorizada/métodos , Diagnóstico Diferencial , Progressão da Doença , Febre/diagnóstico , Febre/etiologia , Hematemese/diagnóstico , Hematemese/etiologia , Hemoptise/diagnóstico , Hemoptise/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Infecções Relacionadas à Prótese/diagnóstico , Infecções Relacionadas à Prótese/fisiopatologia , Resultado do Tratamento , Fístula Vascular/diagnóstico , Fístula Vascular/etiologia , Fístula Vascular/fisiopatologia , Enxerto Vascular/efeitos adversos , Enxerto Vascular/métodos
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