Dissecting aneurysm of the ascending aorta with aorto-caval fistula. Fiberoptic oximetric findings and surgical management.
A patient presented the rare complication of a dissecting aneurysm of the ascending aorta ruptured into the superior vena cava producing a left-right fistula. Continuous oximetric measurements by a fiberoptic pulmonary artery floated catheter was used to localize the site of the shunt. Emergency surgical repair was successfully performed.
D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000601:surgery; D001011:Aorta / Q000601:surgery; D001019:Aortic Rupture / Q000150:complications* / Q000601:surgery; D001027:Aortography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005336:Fiber Optic Technology; D006801:Humans; D008297:Male; D010092:Oximetry / Q000295:instrumentation; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging / Q000601:surgery