Aortopulmonary fistula after aortic root replacement.
This report describes a rare case of aortopulmonary fistula in pseudoaneurysm of the left coronary ostial button. A 66-year-old woman suddenly developed congestive heart failure 3 years after aortic root replacement for acute type A aortic dissection. The diagnosis of aortopulmonary fistula was confirmed preoperatively by aortography, heart catheterization, and spiral computed tomography. She was discharged in good condition after surgical treatment. This serious complication should be considered in patients who have severe congestive heart failure after aortic root replacement.
Ueno
Masahiro
M
Department of Cardiovascular Surgery, Omura Municipal Hospital, Cardiovascular Center, Nagasaki, Japan. masaocvc@fsinet.or.jp
Imada
Tatsuya
T
Nonaka
Kazuki
K
Oda
Takeshi
T
D000368:Aged; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000209:etiology*; D001021:Aortic Valve; D001159:Arterio-Arterial Fistula / Q000209:etiology*; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D011651:Pulmonary Artery