We describe the repair of an acute aorto-pulmonary artery fistula in a 82-year-old patient with a ruptured aortic arch aneurysm using a frozen elephant trunk technique.
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Article Synopsis
- A Loeys-Dietz syndrome patient underwent mitral valve repair and replacement of the aortic root and valve, revealing a previously misdiagnosed Morgagni hernia during a preoperative CT scan.
- The Morgagni hernia was found to contain omentum and was compressing the right ventricle, complicating the patient’s condition.
- Intraoperative observations revealed abnormal blood flow back into the left ventricle, later attributed to major aorto-pulmonary collateral arteries, highlighting the need to consider these congenital features in diagnosis and surgical treatment.
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