title: Aortic dissection: rupture into right ventricle and right pulmonary artery.
abstract: 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.
authors.affiliation: North Shore University Hospital, Manhasset, NY 11030.
authors.forename: L N
authors.initials: LN
authors.lastname: Spier
authors.forename: M H
authors.initials: MH
authors.lastname: Hall
authors.forename: R L
authors.initials: RL
authors.lastname: Nelson
authors.forename: V A
authors.initials: VA
authors.lastname: Parnell
authors.forename: G J
authors.initials: GJ
authors.lastname: Pogo
authors.forename: A J
authors.initials: AJ
authors.lastname: Tortolani
mesh_terms: 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