Endovascular repair of an aortopulmonary artery fistula with use of controlled-release coils.
Aortopulmonary artery fistula is traditionally treated surgically. The present case report describes endovascular repair of an aortopulmonary artery fistula in a patient in whom two thoracotomies had been performed. The fistula occurred at the site of a pseudoaneurysm from the proximal anastomosis of a graft placed to treat a type B aortic dissection. Two controlled-release endovascular coils were positioned across the fistula, resulting in immediate closure. The fistula remains closed with resolution of the pseudoaneurysm after more than 3 years of follow-up.
Section of Interventional Radiology, Methodist Hospitals of Dallas, Pavilion II, Suite 440, 221 West Colorado Boulevard, Dallas, Texas 75208, USA. sslonim@yahoo.com
Suzanne M
SM
Slonim
Mathis T
MT
Adams
Kenneth R
KR
Kollmeyer
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D015901:Angiography, Digital Subtraction; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D001807:Blood Vessel Prosthesis; D004621:Embolization, Therapeutic; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures