title: Axillary artery to pulmonary artery fistula following Nuss procedure for pectus excavatum.
abstract: Systemic artery to pulmonary vessel fistula (SAPVF) is an uncommon condition, which is congenital or acquired. We recently encountered a patient with acquired axillary artery to pulmonary artery fistula detected by dual-source 64-slice computed tomography (DSCT) angiography who had a Nuss surgical procedure for pectus excavatum. He suffered from wound infection following bar removal. Conventional angiography also demonstrated the SAPVF and successful embolization for treatment was carried out using microcoils and polyvinyl alcohol particles. To our knowledge, there has been no report of an axillary artery to pulmonary artery fistula associated with wound infection following a Nuss procedure.
authors.affiliation: Department of Radiology, Gil Hospital, Gachon University of Medicine and Science.
authors.forename: So Hyun
authors.initials: SH
authors.lastname: Cho
authors.forename: Yon Mi
authors.initials: YM
authors.lastname: Sung
authors.forename: Jeong Ho
authors.initials: JH
authors.lastname: Kim
authors.forename: Yoon Kyung
authors.initials: YK
authors.lastname: Kim
authors.forename: Jae-Ik
authors.initials: JI
authors.lastname: Lee
mesh_terms: D000328:Adult; D001159:Arterio-Arterial Fistula / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D001366:Axillary Artery / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic / Q000379:methods; D005660:Funnel Chest / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D061330:Multidetector Computed Tomography; D019637:Orthopedic Procedures / Q000009:adverse effects*; D011142:Polyvinyl Alcohol / Q000008:administration & dosage; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D011142:Polyvinyl Alcohol