Universal Nomenclature of Traumatic Aortopulmonary Fistula

Abstract Pseudoaneurysm of the ascending aorta is rare (1–2%) and a potentially fatal complication following cardiac surgeries. Surgical repair is still the gold standard treatment of ascending aortic pseudoaneurysm. However, endovascular repair methods including stent grafts and Septal Occluder devices have been reported. We report a case of 38-year-old female patient who presented with giant ascending aortic pseudoaneurysm, and aortopulmonary fistula 22 years after modified BlalockTaussig shunt was managed by the transcatheter method. Septal Occluder device 20 mm diameter was delivered to seal the ostium.

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Traumatic Aortopulmonary Fistula is not an Unknown Entity

The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2021.10.052 ◽

2021 ◽

Author(s):

Srikanth Kasturi

Keyword(s):

Aortopulmonary Fistula

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A rare case of acquired aortopulmonary fistula with bicuspid aortic valve: report of successful surgical repair

BMJ Case Reports ◽

10.1136/bcr-2014-207374 ◽

2014 ◽

Vol 2014 (nov18 1) ◽

pp. bcr2014207374-bcr2014207374 ◽

Cited By ~ 1

Author(s):

R. K. Premchand ◽

B. Bhaskar Rao ◽

K. Partani

Keyword(s):

Aortic Valve ◽

Bicuspid Aortic Valve ◽

Rare Case ◽

Surgical Repair ◽

Aortopulmonary Fistula

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Acquired aortopulmonary fistula: a case report

European Heart Journal - Case Reports ◽

10.1093/ehjcr/ytaa155 ◽

2020 ◽

Vol 4 (4) ◽

pp. 1-5

Author(s):

Osama Mahmoud ◽

Hadi Elias ◽

Arsalan Rafiq ◽

Amro Alsaid

Keyword(s):

Heart Failure ◽

Cardiac Imaging ◽

Multimodality Imaging ◽

Main Pulmonary Artery ◽

Bypass Graft ◽

Stable Condition ◽

Transoesophageal Echocardiography ◽

Ascending Aorta ◽

Aortic Pseudoaneurysm ◽

Aortopulmonary Fistula

Abstract Background Aortopulmonary fistula is a rare complication of ascending aorta pathology. Presentation is most commonly dramatic with acute onset chest pain or heart failure secondary to left to right shunting. We describe a patient with acquired aortopulmonary fistula who had an insidious onset of heart failure as his presenting complaint. We also highlight the utility of multimodality cardiac imaging in establishing the diagnosis. Case summary A 79-year-old male patient with a history of coronary artery bypass graft surgery and mechanical aortic valve replacement, 23 years prior, presented with exertional dyspnoea of 7 months duration. An initial workup that included transthoracic and transoesophageal echocardiography as well as coronary and bypass graft angiography failed to diagnose an acquired aortopulmonary fistula complicating an ascending aortic pseudoaneurysm. Upon referral to our institution, the correct diagnosis was suspected on off-axis transthoracic echocardiography. The fistula was subsequently confirmed, and the extent of ascending aorta pathology defined via a multimodality imaging approach that consisted of transoesophageal echocardiography and cardiac computed tomography. The patient underwent successful surgical repair and was discharged in a stable condition. Discussion Acquired aortopulmonary fistula is a rare clinical entity. We describe a patient who had an insidious presentation of heart failure and found to have a large ascending aortic aneurysm that eroded into the main pulmonary artery creating a fistulous communication. The diagnosis was delayed and required a high index of suspicion and multimodality cardiac imaging.

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