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Ann Thorac Surg 2006;81:e18-e20
© 2006 The Society of Thoracic Surgeons

Case report

Aortopulmonary Fistula Occurring 4 Years After Replacement of the Ascending Aorta

Micha T. Maeder, MD a , * , Thomas Wolber, MD a , Andreas Künzli, MD b , Michele Genoni, MD b , Robert Blank, MD a , Hans Rickli, MD a

a Division of Cardiology, Department of Internal Medicine, Kantonsspital St. Gallen, Switzerland
b Division of Cardiothoracic Surgery, University Hospital of Zürich, Switzerland

Accepted for publication January 5, 2006.

* Address correspondence to Dr Maeder, Division of Cardiology, University Hospital Basel, Petersgraben 4, Basel, CH-4031 Switzerland (Email: micha.maeder{at}bluewin.ch).

A 62-year-old man presenting with congestive heart failure due to a fistula between an aortic pseudoaneurysm and the right pulmonary artery is described. The shunt occurred 4 years after aortic valve and supracoronary graft replacement and was diagnosed by transesophageal contrast echocardiography. After redo surgery the patient made an uneventful recovery.






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Copyright © 2006 by The Society of Thoracic Surgeons.