Aortopulmonary fistula after coarctation repair with Dacron patch aortoplasty.
Fistulous communication between the aorta and the pulmonary parenchyma developed in a 38-year-old woman 19 years after repair of a congenital aortic coarctation with Dacron patch aortoplasty. The fistula, inducing intermittent hemoptysis, arose from the suture line between the prosthetic fabric and the aorta. There was no infectious background or aneurysm at the primary repair site. The aortic segment including the prosthetic patch was resected and replaced with a Dacron tubular vascular prosthesis.
Heikkinen
Leo O
LO
Department of Cardiothoracic Surgery, Helsinki University Hospital, Finland. leo.heikkinen@hus.fi
Järvinen
Antero A
AA
D000328:Adult; D000714:Anastomosis, Surgical; D001013:Aorta, Thoracic / Q000473:pathology / Q000601:surgery*; D001017:Aortic Coarctation / Q000473:pathology / Q000601:surgery*; D001018:Aortic Diseases / Q000473:pathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D005402:Fistula / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D008171:Lung Diseases / Q000473:pathology / Q000601:surgery*; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery*; D011475:Prosthesis Failure; D012086:Reoperation; D013537:Sutures; D016157:Vascular Fistula / Q000473:pathology / Q000601:surgery*
D011093:Polyethylene Terephthalates