Acquired aorto-pulmonary artery fistula following proximal aortic surgery.
A 56-year-old man developed left heart failure secondary to left to right shunt due to acquired aorto-pulmonary artery (PA) fistula. He had previously undergone aortic root replacement for streptococcal aortic valve endocarditis. A modified strategy involving interventional radiology and surgical technique was employed to deal with this complex surgical challenge. A balloon catheter was placed in the right PA to enable fistula occlusion during cardiopulmonary bypass followed by repair using cardiopulmonary bypass and circulatory arrest.
Department of Cardiac Surgery, Queen Elizabeth Hospital & University Hospital, Edgbaston, Birmingham B15 2TH, UK.
Majid
M
Mukadam
James
J
Barraclough
Peter
P
Riley
Robert
R
Bonser