“…The first successful case of surgical repair of aortopulmonary fistula was reported by Giocobine and Cooley in 1960 [13] . Surgical approach is associated with a high morbidity and mortality rates, and the outcome often depends on the patient's prior general condition [12] .…”
We present the case of a 54-year-old male patient diagnosed with a right upper lobe lung cancer and was referred for resection. Positron emission tomography-computed tomography scan showed a prominent vascular structure in the right lung, suspicious for vascular malformation. A computed tomography angiography was done, demonstrating an intercostobronchial trunk-pulmonary artery fistula. There was also non-tapering dilated wandering pulmonary artery coursing through the right lower lung without any abnormal connection with pulmonary veins and were supplying normal lung parenchyma. Amplatzer vascular plugs were used for the treatment of the intercostobronchial trunk-pulmonary artery fistula. Our case highlights these very rare vascular anomalies, and their management.
“…The first successful case of surgical repair of aortopulmonary fistula was reported by Giocobine and Cooley in 1960 [13] . Surgical approach is associated with a high morbidity and mortality rates, and the outcome often depends on the patient's prior general condition [12] .…”
We present the case of a 54-year-old male patient diagnosed with a right upper lobe lung cancer and was referred for resection. Positron emission tomography-computed tomography scan showed a prominent vascular structure in the right lung, suspicious for vascular malformation. A computed tomography angiography was done, demonstrating an intercostobronchial trunk-pulmonary artery fistula. There was also non-tapering dilated wandering pulmonary artery coursing through the right lower lung without any abnormal connection with pulmonary veins and were supplying normal lung parenchyma. Amplatzer vascular plugs were used for the treatment of the intercostobronchial trunk-pulmonary artery fistula. Our case highlights these very rare vascular anomalies, and their management.
“…In 1960, Giacobine and Cooley reported surgical repair method for aorto-pulmonary fistula [7]. The surgery consists of direct closure or patch closure of the fistula.…”
Aorto-pulmonary fistula caused by ruptured aortic aneurysm is rare and sometimes difficult to diagnose, resulting in progression of heart failure. We report a case of acute heart failure due to abrupt rupture of aortic aneurysm into the pulmonary artery. Although it is difficult to make an early diagnosis of aorto-pulmonary shunt, multi-detector computed tomography (MDCT) clearly detected this extracardiac shunt. Emergent surgical repair of aorto-pulmonary fistula was successfully achieved. MDCT is a useful modality to make an accurate diagnosis of extracardiac shunt and to decide the operative procedure non-invasively.
“…The surgical treatment of acquired aorto-pulmonary fistula is very uncommon, and hazardous, only 7 cases having been documented to our knowledge, the first in 1960 (5,7,10). The procedure involves the replacement of the ascending aorta.…”
Two reports of the rare condition, acquired aorto-pulmonary fistula, are presented, one the result of acute aortic dissection, the other, giant cell aortitis. The presentation, diagnosis, and management are discussed and the literature reviewed.
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