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.
Massetti, M., Babatasi, G., Rossi, A., Kapadia, N., Neri, E., Bhoyroo, S., Gerard, J. L., Commeau, P., Khayat, A., Aortopulmonary fistula: an uncommon complication in dystrophic aortic aneurysm, <<ANNALS OF THORACIC SURGERY>>, 1995; 59 (6): 1563-1564 [http://hdl.handle.net/10807/103827]
Aortopulmonary fistula: an uncommon complication in dystrophic aortic aneurysm
Massetti, MassimoPrimo
;
1995
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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