A Study of Four Thousand Reported Cases of Aneurysm of the Thoracic Aorta

Boyd, Linn J.

doi:10.1097/00000441-192411000-00006

Cited by 122 publications

(26 citation statements)

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“…Aorto-pulmonary artery fistula caused by ruptured aortic arch aneurysm is a relatively rare complication accounting for 3.5% of ruptured thoracic aortic aneurysm [5]. In previously reported cases, successful surgical repair of aorto-pulmonary fistula was achieved by direct closure or patch closure of the fistula with or without trimming of the wall around the orifice through the inside of the aortic arch aneurysm or pulmonary artery [6,7].…”

Section: Discussionmentioning

confidence: 99%

Abrupt rupture of an aortic arch aneurysm into the pulmonary artery

Nishimura

Okamura

Uchita

et al. 2009

European Journal of Cardio-Thoracic Surgery

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We report an extremely rare case of pulmonary artery dissection caused by an abrupt rupture of an aortic arch aneurysm into the pulmonary artery. An asymptomatic 80-year-old man was admitted to our hospital for elective surgical repair of aortic arch aneurysm. After admission, sudden onset of hoarseness and dyspnea developed. Echocardiography demonstrated an intimal flap in the pulmonary artery and abnormal shunt flow from aortic arch aneurysm into the pulmonary artery. At surgery, the pulmonary artery dissection involved the main pulmonary artery and both major branches. Total arch replacement and pulmonary artery reconstruction were successfully performed.

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Section: Discussionmentioning

confidence: 99%

Abrupt rupture of an aortic arch aneurysm into the pulmonary artery

Nishimura

Okamura

Uchita

et al. 2009

European Journal of Cardio-Thoracic Surgery

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“…In rare instances, aortic aneurysm may lead to further complications of fistula formation between the aorta and the pulmonary artery 1 6. In 1924, Boyd reported that the occurrence of aortopulmonary fistula was nearly 4% among the 4000 autopsy cases with thoracic aortic aneurysm investigated in the study 7. The other rare causes of acquired aortopulmonary fistula include Marfan's syndrome, trauma, aortic dissection, infective endocarditis, inflammatory aortitis and syphilitic aortitis 8.…”

Section: Discussionmentioning

confidence: 98%

A rare case of acquired aortopulmonary fistula with bicuspid aortic valve: report of successful surgical repair

2014

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An acquired aortopulmonary fistula is a rare and usually fatal phenomenon. Rarer still are reports of successful surgical repair of aortopulmonary fistulae. We present the case of a 48-year-old hypertensive man who presented with congestive cardiac failure. Examination revealed a bicuspid aortic valve and a large aneurysm of the arch of the aorta, which was communicating with the main pulmonary artery. The diagnosis of acquired aortopulmonary fistula was made using transthoracic echocardiography findings and confirmed by CT. The patient was successfully managed by surgery, with an uneventful postoperative recovery, with control of congestive cardiac failure. At 1-year follow-up, the patient had Class I symptoms.

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“…Boyd [19] before the advent of CT in 1924, in a survey of 4000 autopsy cases of thoracic aorta aneurysms, reported rupture "into" a pulmonary artery in 45 cases (1.1%). However, in 1958, Hirst et al [18] reported no case of aortopulmonary fistula in 505 cases of aortic dissection.…”

Section: Discussionmentioning

confidence: 99%