Aorticopulmonary fistula. A case of successful repair with review of literature since 1943.
A case of aorticopulmonary fistula secondary to thoracic aortic aneurysm of syphilitic origin has been presented. Aneurysm involved the first portion of the ascending aorta and ruptured into the main pulmonary artery a few cm above the pulmonic valve. Two weeks after onset, the patient successfully operated upon under profound hypothermia with perfusion. Thirteen cases of this disease since 1943 were reviewed and we discussed briefly profound hypothermia as a useful technic for surgical correction of this condition.
D000368:Aged; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000150:complications; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications; D005402:Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D011651:Pulmonary Artery