Aortopulmonary fistula in a post-coarctation mycotic aneurysm.
A 21-year-old man presented with fever and septicemia resistant to antibiotic therapy. An unusual post-coarctation mycotic aortic aneurysm that had eroded into the left main stem bronchus was identified and replaced with a Dacron graft. A critical factor in achieving the satisfactory result was preparation of the femoral vessels for autotransfusion and possible cardiopulmonary bypass.
D000328:Adult; D000785:Aneurysm, Infected / Q000150:complications* / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery; D001017:Aortic Coarctation / Q000150:complications* / Q000601:surgery; D001018:Aortic Diseases / Q000209:etiology* / Q000601:surgery; D001983:Bronchial Fistula / Q000209:etiology* / Q000601:surgery; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male