Aortopulmonary fistula from penetrating thoracic trauma.

J Trauma

Division of Trauma Services, Department of Surgery, Mercer University School of Medicine, The Medical Center of Central Georgia, Macon, Georgia, USA.

Published: December 2004

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http://dx.doi.org/10.1097/01.ta.0000133839.86049.eeDOI Listing

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Article Synopsis
  • A case of an aortopulmonary fistula related to a post-operative aortic pseudoaneurysm is discussed, which is a rare complication following aortic surgery.
  • The patient, a 60-year-old man with severe heart failure unresponsive to diuretics, was diagnosed after advanced imaging techniques revealed shunt blood flow from the aortic aneurysm to the pulmonary artery.
  • The study emphasizes the effectiveness of transesophageal echocardiography for accurately diagnosing this condition, as it provides better details than routine imaging methods like CT angiography.
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Introduction: Aortic pseudoaneurysms are a type of contained rupture where most of the aortic wall is breached, leaving only a thin rim of the remaining wall or adventitia to hold the blood. This condition carries a high risk of rupture and potentially fatal complications. Typically, patients present with chest pain; haemoptysis can also occur, though rarely.

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Background: The acquired communication between the aorta and the pulmonary artery is a rare and potentially life-threatening condition. Its diagnosis is challenging and may require a multimodality imaging approach.

Case Summary: A 67-year-old Caucasian man, admitted for acute respiratory failure unresponsive to medical therapy and non-invasive ventilation, was diagnosed with an aortopulmonary fistula (APF) complicating a pseudoaneurysm of the aortic root.

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