Acquired aortopulmonary fistula. A case report.

Abstract

A 63-year-old male patient with no prior history of heart disease was admitted in acute heart failure with diagnosis of pulmonary thromboembolism. 2D-echocardiography and color-Doppler echocardiography showed a severe aortic stenosis associated with an acquired aorto-pulmonary fistula bridging the ascending aorta and the main pulmonary artery. The diagnosis was confirmed by aortography. The patient underwent replacement of the aortic valve with a bileaflet mechanical valve. The fistula was obliterated with a Dacron patch anchored on the edges of its aortic opening. He did well postoperatively and was discharged with no complaint.

• Authors: G Ferlan, C De Pasquale, M Testini, A Agnino, N Marraudino, G Castellaneta, F Bovenzi, C D'Agostino
• Journal: The Journal of cardiovascular surgery (J Cardiovasc Surg (Torino)) Vol. 39 Issue 6 Pg. 821-3 (Dec 1998) ISSN: 0021-9509 [Print] Italy
• PMID: 9972908 (Publication Type: Case Reports, Journal Article)

Chemical References

• Biocompatible Materials
• Polyethylene Terephthalates

Topics

• Angiography
• Aorta, Thoracic (abnormalities)
• Aortic Valve Stenosis (complications, diagnosis, surgery)
• Arterio-Arterial Fistula (complications, diagnosis, surgery)
• Biocompatible Materials
• Blood Vessel Prosthesis
• Blood Vessel Prosthesis Implantation (instrumentation)
• Diagnosis, Differential
• Echocardiography, Doppler, Color
• Follow-Up Studies
• Heart Valve Prosthesis Implantation
• Humans
• Male
• Middle Aged
• Polyethylene Terephthalates
• Pulmonary Artery (abnormalities)
• Pulmonary Embolism (diagnosis)