Venobronchial fistula: an unusual complication of long-term central venous access

Respiration. 2006;73(5):686-9. doi: 10.1159/000087306. Epub 2005 Jul 27.

Abstract

A venobronchial fistula developed between the azygous vein and the upper aspect of the right main bronchus 12 months after completion of the treatment of a stage IIIB non-small-cell lung cancer in a 54-year-old man. The fistula contained the tip of the catheter placed for chemotherapy perfusion. The reported case presented risk factors previously identified for such a complication. In addition, some clinical particularities were present, suggesting new potent risk factors and some preventive means for safe long-term central venous catheterization.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Agents / administration & dosage
  • Azygos Vein*
  • Bronchial Fistula / diagnostic imaging
  • Bronchial Fistula / etiology*
  • Bronchial Fistula / prevention & control
  • Carcinoma, Non-Small-Cell Lung / complications*
  • Carcinoma, Non-Small-Cell Lung / drug therapy
  • Carcinoma, Non-Small-Cell Lung / surgery
  • Carcinoma, Squamous Cell / complications
  • Carcinoma, Squamous Cell / drug therapy
  • Carcinoma, Squamous Cell / surgery
  • Catheterization, Central Venous / adverse effects*
  • Catheters, Indwelling / adverse effects
  • Humans
  • Lung Neoplasms / complications*
  • Lung Neoplasms / drug therapy
  • Lung Neoplasms / surgery
  • Lymphatic Metastasis / pathology
  • Male
  • Mediastinal Neoplasms / complications
  • Mediastinal Neoplasms / drug therapy
  • Mediastinal Neoplasms / surgery
  • Middle Aged
  • Postoperative Complications / etiology
  • Radiography
  • Vascular Fistula / diagnostic imaging
  • Vascular Fistula / etiology*
  • Vascular Fistula / prevention & control

Substances

  • Antineoplastic Agents