Acquired aortopulmonary fistula. A case report.
A 63-year-old male patient with no prior history of heart disease was admitted in acute heart failure with diagnosis of pulmonary thromboembolism. 2D-echocardiography and color-Doppler echocardiography showed a severe aortic stenosis associated with an acquired aorto-pulmonary fistula bridging the ascending aorta and the main pulmonary artery. The diagnosis was confirmed by aortography. The patient underwent replacement of the aortic valve with a bileaflet mechanical valve. The fistula was obliterated with a Dacron patch anchored on the edges of its aortic opening. He did well postoperatively and was discharged with no complaint.
Ferlan
G
G
Institute of Cardiosurgery, Faculty of Medicine, University of Bari, Italy.
De Pasquale
C
C
Testini
M
M
Agnino
A
A
Marraudino
N
N
Castellaneta
G
G
Bovenzi
F
F
D'Agostino
C
C
D000792:Angiography; D001013:Aorta, Thoracic / Q000002:abnormalities*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D001159:Arterio-Arterial Fistula / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D001672:Biocompatible Materials; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D003937:Diagnosis, Differential; D018618:Echocardiography, Doppler, Color; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011651:Pulmonary Artery / Q000002:abnormalities*; D011655:Pulmonary Embolism / Q000175:diagnosis