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.
Mukadam
Majid
M
Department of Cardiac Surgery, Queen Elizabeth Hospital & University Hospital, Edgbaston, Birmingham B15 2TH, UK.
Barraclough
James
J
Riley
Peter
P
Bonser
Robert
R