title: TEVAR for Flash Pulmonary Edema Secondary to Thoracic Aortic Aneurysm to Pulmonary Artery Fistula.
abstract: Enlarging aneurysms in the thoracic aorta frequently remain asymptomatic. Fistulization of thoracic aortic aneurysms (TAA) to adjacent structures or the presence of a patent ductus arteriosus and TAA may lead to irreversible cardiopulmonary sequelae. This article reports on a large aneurysm of the thoracic aorta with communication to the pulmonary artery causing pulmonary edema and cardiorespiratory failure. The communication was ultimately closed after thoracic endovascular aortic aneurysm repair allowing rapid symptom resolution. Early diagnosis and closure of such communication in the presence of TAA are critical for prevention of permanent cardiopulmonary damage.
authors.affiliation: Division of Vascular and Endovascular Surgery, Miller School of Medicine, University of Miami Hospital, Miami, FL. Electronic address: abornak@med.miami.edu.
authors.forename: Arash
authors.initials: A
authors.lastname: Bornak
authors.affiliation: Division of Vascular and Endovascular Surgery, Miller School of Medicine, University of Miami Hospital, Miami, FL.
authors.forename: Atif
authors.initials: A
authors.lastname: Baqai
authors.affiliation: Division of Vascular and Endovascular Surgery, Miller School of Medicine, University of Miami Hospital, Miami, FL.
authors.forename: Xiaoyi
authors.initials: X
authors.lastname: Li
authors.affiliation: Division of Vascular and Endovascular Surgery, Miller School of Medicine, University of Miami Hospital, Miami, FL.
authors.forename: Jorge
authors.initials: J
authors.lastname: Rey
authors.affiliation: Division of Vascular and Endovascular Surgery, Miller School of Medicine, University of Miami Hospital, Miami, FL.
authors.forename: Jun
authors.initials: J
authors.lastname: Tashiro
authors.affiliation: Division of Vascular and Endovascular Surgery, Miller School of Medicine, University of Miami Hospital, Miami, FL.
authors.forename: Omaida C
authors.initials: OC
authors.lastname: Velazquez
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001159:Arterio-Arterial Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D011651:Pulmonary Artery; D011654:Pulmonary Edema / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery