[A case of successful repair of aorto-pulmonary artery fistula secondary to aortic arch aneurysm].
A report of a rare case of successful repair of rupture of an aortic aneurysm into the pulmonary artery. A 55-year-old male was transferred to our hospital because of dyspnea with sudden onset, hemoptysis and palpitation. A loud, continuous, "machine-like" murmur was heard on the anterior wall of the chest. Various examinations revealed an acquired shunt between the thoracic aortic aneurysm and the pulmonary artery and high-output heart failure. Aortic arch replacement was performed expeditiously and the patient recovered, and was able to return to work. 108 cases of rupture of a thoracic aortic aneurysm into the pulmonary artery have been reported in the literature. Operation for repair was performed in only thirteen of these. Only four cases have been reported in the literature in which the patients were successfully treated.
Kakio
T
T
Third Division of Internal Medicine, Kyoto University, School of Medicine.
Konishi
T
T
Maruyama
S
S
Matsumori
A
A
Kawai
C
C
Kameyama
T
T
Nakayama
S
S
Okabayashi
H
H
Nomoto
S
S
Okamoto
Y
Y
D001013:Aorta, Thoracic / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications*; D001019:Aortic Rupture / Q000150:complications*; D001159:Arterio-Arterial Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000601:surgery