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Ann Thorac Surg 2002;74:590-591
© 2002 The Society of Thoracic Surgeons

Case report

Aortopulmonary fistula after aortic root replacement

Masahiro Ueno, MD*a, Tatsuya Imada, MDa, Kazuki Nonaka, MDa, Takeshi Oda, MDa

a Department of Cardiovascular Surgery, Omura Municipal Hospital, Cardiovascular Center, Omura, Japan

Accepted for publication April 1, 2002.

* Address reprint requests to Dr Ueno, Department of Cardiovascular Surgery, Omura Municipal Hospital, Cardiovascular Center, 133-22 Kogashima-chou, Omura, Nagasaki 856-8561, Japan
e-mail: masaocvc{at}fsinet.or.jp

This report describes a rare case of aortopulmonary fistula in pseudoaneurysm of the left coronary ostial button. A 66-year-old woman suddenly developed congestive heart failure 3 years after aortic root replacement for acute type A aortic dissection. The diagnosis of aortopulmonary fistula was confirmed preoperatively by aortography, heart catheterization, and spiral computed tomography. She was discharged in good condition after surgical treatment. This serious complication should be considered in patients who have severe congestive heart failure after aortic root replacement.




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