Dissection of the aorta complicated by aorto-pulmonary fistula
Leborgne, L.; Trojette, F.; Jarry, G.; Touati, G.; Otmani, A.; Hermida, J.S.; Tribouilloy, C.; Remond, A.; Rey, J.L.; Quiret, J.C.
Archives des Maladies du Coeur et des Vaisseaux 94(7): 743-746
2001
ISSN/ISBN: 0003-9683 PMID: 11494633 Document Number: 529104
The authors report the case of chronic dissection of the aorta presenting with congestive cardiac failure. The diagnosis was made for the first time by transoesophageal echocardiography which showed both the dissection of the aorta and its fistulalisation into the pulmonary artery. Aortography confirmed the diagnosis. The patient underwent surgery which consisted of suture of the fistula and replacement of the ascending aorta with a prosthetic tube. The outcome was favourable after 8 months follow-up.