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Massimo Massetti
Gerard Babatasi
Eugenio Neri
André Khayat
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Ann Thorac Surg 1995;59:1563-1564
© 1995 The Society of Thoracic Surgeons

Articles

Aortopulmonary fistula: An uncommon complication in dystrophic aortic aneurysm

MD Massimo Massetti*, MD Gerard Babatasi, MD Antoine Rossi, MD Nandikishore Kapadia, MD Eugenio Neri, MD Satar Bhoyroo, MD Jean-Louis Gerard, MD Philippe Commeau, MD André Khayat

Thoracic and Cardiovascular Department, University Hospital, Caen, France

Accepted for publication October 19, 1994.

* Address reprint requests to Dr Massetti, Thoracic and Cardiovascular Department, University Hospital, 14000 Caen, France.

Wall dissection is a typical complication in the evolution of Marfan aortic aneurysm and usually is associated with valve regurgitation. Formation of a fistula with adjacent structures is very uncommon. We report the case of a 32-year-old man who presented with the typical features of Marfan's syndrome, with chronic aneurysm of the ascending aorta and acute aortopulmonary fistula. Diagnosis was made preoperatively by aortography; operation was performed successfully. A review of the literature only shows a few cases of aortopulmonary fistula in atherosclerotic, syphilitic, or postendocarditis disease.




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