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Ann Thorac Surg 1993;55:995-997
© 1993 The Society of Thoracic Surgeons

Articles

Successful surgical management of an aortic arch aneurysm with acute aorto-pulmonary fistula

Stephen J. Lahey, MD*

Division of Cardiothoracic Surgery, New England Deaconess Hospital, Harvard Medical School, Boston, Massachusetts USA

Accepted for publication June 8, 1992.

* Address reprint requests to Dr Lahey, 110 Francis St, Suite 2C, Boston, MA 02215.

Aortic arch aneurysm with acute aorto-pulmonary fistula is usually a postmortem diagnosis. Few reports of successful surgical management are noted. Despite the many advances in cardiac surgery over the last 30 years, the observed mortality rate for surgical correction has been very high. Early diagnosis and prompt surgical intervention using profound hypothermia and total circulatory arrest are essential to successful outcome.




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