Aortopulmonary fistula occurring 4 years after replacement of the ascending aorta.
A 62-year-old man presenting with congestive heart failure due to a fistula between an aortic pseudoaneurysm and the right pulmonary artery is described. The shunt occurred 4 years after aortic valve and supracoronary graft replacement and was diagnosed by transesophageal contrast echocardiography. After redo surgery the patient made an uneventful recovery.
Maeder
Micha T
MT
Division of Cardiology, Department of Internal Medicine, Kantonsspital St. Gallen, Switzerland. micha.maeder@bluewin.ch
Wolber
Thomas
T
Künzli
Andreas
A
Genoni
Michele
M
Blank
Robert
R
Rickli
Hans
H
D000784:Aortic Dissection / Q000601:surgery*; D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D001014:Aortic Aneurysm / Q000601:surgery*; D001018:Aortic Diseases / Q000209:etiology / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D004338:Drug Combinations; D017548:Echocardiography, Transesophageal; D005557:Formaldehyde / Q000627:therapeutic use; D005780:Gelatin / Q000627:therapeutic use; D006327:Heart Block / Q000601:surgery; D006333:Heart Failure / Q000209:etiology; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D045423:Microbubbles; D008875:Middle Aged; D010138:Pacemaker, Artificial; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000601:surgery; D012086:Reoperation; D012118:Resorcinols / Q000627:therapeutic use; D013997:Time Factors; D014014:Tissue Adhesives; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000209:etiology / Q000601:surgery*
D004338:Drug Combinations; D012118:Resorcinols; D014014:Tissue Adhesives; C027813:gelatin-resorcinol-formaldehyde tissue adhesive; D005557:Formaldehyde; D005780:Gelatin