title: Surgical correction of a fistula between left pulmonary artery and innominate vein.
abstract: A 48-year-old woman with chronic dyspnea complaints was referred to the thoracic surgery clinic for a surgical lung biopsy to make a definitive diagnosis of interstitial lung disease. Thoracic computed tomography imaging revealed a vascular structure located anterior to the aorta, between the left innominate vein and the pulmonary artery. Magnetic resonance angiography showed the abnormal vessel connection in detail. Pulmonary perfusion scintigraphy showed decreased perfusion of the left upper lobe and the superior lingular segment. A fistulectomy was performed through a mini thoracotomy. The patient no longer had any dyspnea symptoms after the operation.
authors.affiliation: Department of Thoracic Surgery, Ufuk University School of Medicine, Ankara, Turkey. Electronic address: tevfikkaplan@yahoo.com.
authors.forename: Tevfik
authors.initials: T
authors.lastname: Kaplan
authors.affiliation: Department of Radiology, Ufuk University School of Medicine, Ankara, Turkey.
authors.forename: Gokce Kaan
authors.initials: GK
authors.lastname: Atac
authors.affiliation: Department of Anesthesiology, Ufuk University School of Medicine, Ankara, Turkey.
authors.forename: Perihan
authors.initials: P
authors.lastname: Ekmekci
authors.affiliation: Department of Nuclear Medicine, Ufuk University School of Medicine, Ankara, Turkey.
authors.forename: Emel
authors.initials: E
authors.lastname: Ozturk
authors.affiliation: Department of Thoracic Surgery, Ufuk University School of Medicine, Ankara, Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Han
mesh_terms: D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000601:surgery*; D016121:Brachiocephalic Veins / Q000601:surgery*; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D011651:Pulmonary Artery / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods*