Aortopulmonary fistula: an uncommon complication in dystrophic aortic aneurysm.
Wall dissection is a typical complication in the evolution of Marfan aortic aneurysm and usually is associated with valve regurgitation. Formation of a fistula with adjacent structures is very uncommon. We report the case of a 32-year-old man who presented with the typical features of Marfan's syndrome, with chronic aneurysm of the ascending aorta and acute aortopulmonary fistula. Diagnosis was made preoperatively by aortography; operation was performed successfully. A review of the literature only shows a few cases of aortopulmonary fistula in atherosclerotic, syphilitic, or postendocarditis disease.
Massetti
M
M
Thoracic and Cardiovascular Department, University Hospital, Caen, France.
Babatasi
G
G
Rossi
A
A
Kapadia
N
N
Neri
E
E
Bhoyroo
S
S
Gerard
J L
JL
Commeau
P
P
Khayat
A
A
D000208:Acute Disease; D000328:Adult; D001011:Aorta; D001014:Aortic Aneurysm / Q000150:complications*; D001159:Arterio-Arterial Fistula / Q000209:etiology* / Q000601:surgery; D002908:Chronic Disease; D006801:Humans; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*; D011651:Pulmonary Artery