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Ann Thorac Surg 2002;73:1634-1636
© 2002 The Society of Thoracic Surgeons

Case report

Aortopulmonary fistula after coarctation repair with dacron patch aortoplasty

Leo O. Heikkinen, MD, PhD*a, Antero A. Järvinen, MD, PhDa

a Department of Cardiothoracic Surgery, Helsinki University Hospital, Helsinki, Finland

Accepted for publication August 24, 2001.

* Address reprint requests to Dr. Heikkinen, Department of Cardiothoracic Surgery, Helsinki University Hospital, Haartmaninkatu 4, PO Box 340, FIN-00029, Helsinki, Finland
e-mail: leo.heikkinen{at}hus.fi

Fistulous communication between the aorta and the pulmonary parenchyma developed in a 38-year-old woman 19 years after repair of a congenital aortic coarctation with Dacron patch aortoplasty. The fistula, inducing intermittent hemoptysis, arose from the suture line between the prosthetic fabric and the aorta. There was no infectious background or aneurysm at the primary repair site. The aortic segment including the prosthetic patch was resected and replaced with a Dacron tubular vascular prosthesis.




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[Abstract] [Full Text] [PDF]


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