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Hideki Itano
Sang Lee
David M. Kulick
Mark D. Iannettoni
Mark B. Orringer
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Ann Thorac Surg 2005;79:e29-e31
© 2005 The Society of Thoracic Surgeons

Case reports

Nontraumatic Chest Wall Systemic-to-Pulmonary Artery Fistula

Hideki Itano, MDa, Sang Lee, MDa, David M. Kulick, MDa, Mark D. Iannettoni, MDa, David M. Williams, MDb, Mark B. Orringer, MDa,*

a Department of Surgery Ann Arbor, Michigan
b Department of Radiology, University of Michigan, Ann Arbor, Michigan

Accepted for publication January 10, 2005.

* Address reprint requests to Dr Orringer, 1500 E Medical Center Dr, Taubman Center, Box 0344, Ann Arbor, MI 48109-0344 (E-mail: morrin{at}umich.edu).

A congenital chest wall systemic-to-left pulmonary artery fistula fed by the left internal mammary and left gastric arteries in a 31-year-old man is reported. Attempted sclerosis was complicated by rupture of the communicating vessel, hemothorax, and deep vein thrombosis of the legs. Fistula resection and pulmonary decortication were successfully performed.






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Copyright © 2005 by The Society of Thoracic Surgeons.