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Michael H. Hall
Vincent A. Parnell
Gustave J. Pogo
Anthony J. Tortolani
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Ann Thorac Surg 1995;59:1017-1019
© 1995 The Society of Thoracic Surgeons

Case Reports

Aortic Dissection: Rupture Into Right Ventricle and Right Pulmonary Artery

Laurence N. Spier, MD, Michael H. Hall, MD, Roy L. Nelson, MD, Vincent A. Parnell, MD, Gustave J. Pogo, MD, Anthony J. Tortolani, MD

North Shore University Hospital, Manhasset, New York

Accepted for publication August 12, 1994.

Rupture of an acute ascending aortic dissection into a surrounding cardiac chamber or pulmonary artery is an uncommon occurrence, and is often only diagnosed post mortem. Although fistulization (aortopulmonary and aorta--right atrial) after acute aortic dissection has been well documented in the literature, acute aortic dissection fistulizing into both the right ventricle and pulmonary artery has not. We report on a 75-year-old woman who presented with an acute ascending aortic dissection with both aortopulmonary and aorta--right ventricular fistulas who underwent repair and had long-term survival.




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