Aortotracheal fistula after slide tracheoplasty in a patient with dextrocardia, left pulmonary artery sling and tracheal stenosis: a case report

Abstract Background Aortotracheal fistula (ATF) is an uncommon and fatal complication of tracheal or aortic surgery, especially among pediatric patients. Case presentation We reported a case in 1-year-old boy with dextrocardia, left pulmonary artery sling long segment stenosis. He received slide tracheoplasty at 9 months age had post-operative refractory granulation distal trachea status post repeated balloon dilatation laser vaporization. Episodes hemoptysis occurred on day 81. Bronchoscopy revealed pulsating pseudoaneurysm lower which ruptured during the procedure Urgent surgical repair under cardiopulmonary bypass deep hypothermic circulatory arrest was done. No recurrent bleeding significant neurologic deficits noticed 4-month follow-up. Conclusion Congenital anomaly that changes spatial relationship between aorta could have contributed to formation ATF. This warrant future attention when managing this not anatomy.