Aortopulmonary artery fistula in atherosclerotic pseudoaneurysm presenting with congestive heart failure after aortic valve replacement

An exceptional case of a giant pseudoaneurysm of the atherosclerotic ascending aorta complicated by aortopulmonary fistulization twelve years after aortic valve replacement is presented. The patient underwent successful surgical repair. In patients with a marked atherosclerotic thoracic aorta presen...

Full description

Saved in:
Bibliographic Details
Published in:Acta chirurgica belgica 2006-03, Vol.106 (2), p.240-242
Main Authors: BOL, A, MISSAULT, L, DOSSCHE, K. M, DELANOTE, J
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aneurysm, False - diagnosis
Aneurysm, False - etiology
Aneurysm, False - surgery
Aorta
Aortic Valve
Arterio-Arterial Fistula - complications
Arterio-Arterial Fistula - diagnosis
Arterio-Arterial Fistula - surgery
Atherosclerosis (general aspects, experimental research)
Atherosclerosis - complications
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Female
General aspects
Heart Failure - complications
Heart Valve Prosthesis
Humans
Medical sciences
Pulmonary Artery
Tomography, Spiral Computed
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:An exceptional case of a giant pseudoaneurysm of the atherosclerotic ascending aorta complicated by aortopulmonary fistulization twelve years after aortic valve replacement is presented. The patient underwent successful surgical repair. In patients with a marked atherosclerotic thoracic aorta presenting with congestive heart failure and an acquired continuous systolo-diastolic murmur, aortopulmonary fistula should be considered and differentiated from ruptured sinus of valsalva aneurysm. Multi-slice computed tomography was the most useful diagnostic tool in planning surgical strategy and approach. Surgery is the treatment of choice for this serious albeit rare entity.
ISSN:0001-5458
DOI:10.1080/00015458.2006.11679882