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European Journal of Cardio-Thoracic Surgery, Vol 11, 994-996, Copyright © 1997 by European Association for Cardio-thoracic Surgery

ARTICLES

Aorto-pulmonary fistula: a rare event in the evolution of a dissecting aneurysm of the thoracic aorta

M Massetti, G Babatasi, E Saloux, S Bhoyroo and A Khayat
Thoracic and Cardiovascular Surgery Department, University Hospital, Caen, France.

The natural history of a thoracic aneurysm is usually towards the dissection or free rupture; rarely an aorto-pulmonary fistula can complicate this lesion. We present two cases of Aorto-pulmonary fistula as acute complication of an aneurysm of thoracic aorta; the etiopathology seem to be related to the same mechanism: a dissecting aneurysm of the ascending aorta leading to a secondary fistulation in the main pulmonary artery. In our two cases the diagnosis was suggested by clinical findings and by Doppler-echocardiography. Both patients were managed surgically with success and both survived.




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Copyright © 1997 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.