title: [Spontaneous perforation of a syphilitic aneurysm of the aortic arch into the pulmonary artery].
abstract: An aortopulmonary fistula in case of a bag-shaped aneurysm of the aortic arch is demonstrated via angiography. A diagnosis to the effect that the existence of this phenomenon is suspected, can already be arrived at when examining the plain radiography of the thorax. We can say that a sign of an aortopulmonary fistula is represented, in case of an aneurysm of the aorta ascendens and of the arcus aortae, by the existence of a left-right shunt with hypercirculation in the pulmonary circulation, in most cases also signs of right ventricular insufficiency. This is often combined with a typical previous history of sudden dyspnea and thoracic pain. The article points out the theoretical possibility of balloon catheter occlusion of the fistula to relieve the acute right ventricular load.
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging*; D001014:Aortic Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011859:Radiography; D012422:Rupture, Spontaneous; D013589:Syphilis, Cardiovascular / Q000150:complications* / Q000000981:diagnostic imaging
vernacular_title: Spontane Perforation eines Luetischen Aortenbogenaneurysmas in die A. pulmonalis.