AI Article Synopsis

  • Wall dissection is a common issue in Marfan aortic aneurysms and often leads to valve regurgitation.
  • A rare case is described of a 32-year-old man with Marfan's syndrome who developed a chronic ascending aorta aneurysm and an acute aortopulmonary fistula.
  • The diagnosis was confirmed before surgery using aortography, and the operation was successful, with very few similar cases reported in the literature.

Article Abstract

Wall dissection is a typical complication in the evolution of Marfan aortic aneurysm and usually is associated with valve regurgitation. Formation of a fistula with adjacent structures is very uncommon. We report the case of a 32-year-old man who presented with the typical features of Marfan's syndrome, with chronic aneurysm of the ascending aorta and acute aortopulmonary fistula. Diagnosis was made preoperatively by aortography; operation was performed successfully. A review of the literature only shows a few cases of aortopulmonary fistula in atherosclerotic, syphilitic, or postendocarditis disease.

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http://dx.doi.org/10.1016/0003-4975(95)00032-gDOI Listing

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