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Venous-Airway Fistula With Aspergilloma: A Case of an Implanted Catheter Gone Bad

Maryam Nilforoshan1, Ismael Matus

  • 1*Georgetown University School of Medicine †Interventional Pulmonology Program, Division of Pulmonary, Critical Care, Georgetown University Medical Center, Washington, DC.

Journal of Bronchology & Interventional Pulmonology
|February 10, 2017
PubMed

Insights

This case report details a rare venous-airway fistula complication in an oncology patient with pancreatic cancer. Silicone stenting successfully closed the fistula, offering a novel treatment for this rare venous access catheter issue.

Area of Science:

  • Medical Devices
  • Surgical Complications
  • Oncology

Background:

  • Implanted venous access catheters are crucial for oncology patient treatment.
  • Common complications include infection and thrombosis, but rare issues like venous-airway fistulas are poorly understood.

Observation:

  • A 56-year-old woman with pancreatic adenocarcinoma developed an azygo-bronchial fistula after port placement.
  • This extremely rare complication involved a concomitant aspergilloma.

Findings:

  • This is the first reported case of a venous-airway fistula secondary to port placement.
  • Successful closure of the fistula was achieved using silicone stenting.

Implications:

  • Silicone stenting presents a potential new treatment for rare venous-airway fistulas.
  • Highlights the importance of recognizing and managing uncommon catheter-related complications in cancer patients.

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