title: Two- and three-dimensional transthoracic echocardiography in the assessment of acquired ascending aortic aneurysm to pulmonary artery fistula.
abstract: Aorta to pulmonary artery fistula is an uncommon and potentially fatal condition. This case is of a 48-year-old Caucasian male with congestive heart failure and multiple aortic valve replacement surgeries who presented with an acquired ascending aortic aneurysm to pulmonary artery fistula diagnosed using two-dimensional transthoracic echocardiography via nonstandard imaging windows. Three-dimensional transthoracic echocardiography using live/real time three-dimensional color Doppler was used to assess the size of the opening of the fistula, providing additional value. This patient was surgically managed and is doing well 8 months postoperation.
authors.affiliation: Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama.
authors.forename: Asad Ullah
authors.initials: AU
authors.lastname: Roomi
authors.forename: Tugba
authors.initials: T
authors.lastname: Kemaloglu Oz
authors.forename: Shammah O
authors.initials: SO
authors.lastname: Williams
authors.forename: Navin C
authors.initials: NC
authors.lastname: Nanda
authors.forename: Kruti J
authors.initials: KJ
authors.lastname: Mehta
authors.forename: Aylin
authors.initials: A
authors.lastname: Sungur
authors.forename: David C
authors.initials: DC
authors.lastname: McGiffin
mesh_terms: D001011:Aorta / Q000000981:diagnostic imaging*; D001014:Aortic Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D018618:Echocardiography, Doppler, Color / Q000379:methods*; D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome
keywords: aorta to pulmonary artery fistula; echocardiography; three-dimensional echocardiography; three-dimensional transthoracic echocardiography; transthoracic echocardiography