Hemoptizi; hastanın ve hekimin ciddiye aldığı bir problemdir. Aortobronşial fıstül hemoptiziye, aortoplevral fistül hemotoraksa neden olur ve tedavi edilmezse fatal seyreder. Hemoptizi ve multipl loküle ve yoğun plevral efüzyon ile müracaat eden ve bronşa fıstülize torasik aort anevrizması olan bir hasta acil anevrizma tamiri ve sol alt lobektomi yapılmasına rağmen kaybedilmiştir. Hemoptizi ayrıcı tanısında aort cerrahi düzeltme yapılmazsa, genellikle fatal seyreder. [Turgut Özal Tıp Merkezi Dergisi 1997;4(2):215- 218] Anahtar kelimeler: Aort anevrizması, hemoptizi, hemotoraks

Hemoptysis is a problem for which the patient and the physician give importance. Aortobronchial fistula causes hemoptysis and aortopleural fistula causes hemothorax, and it is a fatal situation if not treated. A patient presented with hemoptysis and multiple loculated dense pleural effusions who had thoracic aortic aneurysm with bronchial fistula, and died although she underwent emergency aneurysm repair and left lower lobectomy. Aortobronchial fistula should be considered in the differential diagnosis of hemoptysis. If the thoracic aneurysm which is ruptured to the lung and pleura is not diagnosed and surgically repaired early, it is usually mortal. [Journal of Turgut Ozal Medical Center 1997;4(2):215-218] Key words: Aortic aneurysm, hemoptysis, hemothorax