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Ann Thorac Surg 1999;68:1833-1836
© 1999 The Society of Thoracic Surgeons

Case Reports

A review of aortopulmonary fistulas in aortic dissection

Marco Piciché, MDa, Ruggero De Paulis, MDa, Luigi Chiariello, MDa

a Department of Cardiac Surgery, Tor Vergata University, Rome, Italy

Address reprint requests to Dr Chiariello, Department of Cardiac Surgery, Tor Vergata University, European Hospital, Via Portuense 700, 00149 Rome, Italy

Aortopulmonary fistula is an exceedingly rare complication of aortic dissection. Only 4 cases in acute dissection and 8 cases in the chronic one have been published previously. We report the thirteenth case and a review of the literature. A man underwent an operation for type A aortic dissection. At surgery, a fistula was discovered between the false lumen and the main pulmonary artery, although the preoperative investigations did not suggest such a complication.




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