Aortic dissection: rupture into right ventricle and right pulmonary artery.
Rupture of an acute ascending aortic dissection into a surrounding cardiac chamber or pulmonary artery is an uncommon occurrence, and is often only diagnoses post mortem. Although fistulization (aortopulmonary and aorta-right atrial) after acute aortic dissection has been well documented in the literature, acute aortic dissection fistulizing into both the right ventricle and pulmonary artery has not. We report on a 75-year-old woman who presented with an acute ascending aortic dissection with both aortopulmonary and aorta-right ventricular fistulas who underwent repair and had long-term survival.
Spier
L N
LN
North Shore University Hospital, Manhasset, NY 11030.
Hall
M H
MH
Nelson
R L
RL
Parnell
V A
VA
Pogo
G J
GJ
Tortolani
A J
AJ
D000368:Aged; D000784:Aortic Dissection / Q000150:complications*; D001011:Aorta; D001019:Aortic Rupture / Q000150:complications*; D009202:Cardiomyopathies / Q000209:etiology*; D005260:Female; D005402:Fistula / Q000209:etiology*; D006801:Humans; D011651:Pulmonary Artery; D014652:Vascular Diseases / Q000209:etiology