ABSTRACT
A 69-year-old woman complained of general malaise. Chest X-ray film revealed massive left-sided pleural effusion and CT detected a giant aneurysm of the aortic arch. A diagnosis of ruptured aortic arch aneurysm was made and she underwent total arch replacement as emergency surgery. The intraoperative diagnosis was not a ruptured arch aneurysm but an arch aneurysm penetrating into the left pulmonary artery. The postoperative course was uneventful and the patient was discharged home on the 16th postoperative day.
ABSTRACT
Arterial involvement of Behcet's disease (BD) includes arterial occlusions and aneurysms, of which aneurysms are the more common. Aortopulmonary fistula is an anomalous communication between the aorta and a segment of the tracheobronchial tree, and this may develop after thoracic vascular surgery and cause fatal hemoptysis. We experienced a case of BD in a 34-year-old man who was diagnosed as having an aortopulmonary fistula between the aortic pseudoaneurysm and the bronchus of the left upper lobe, and this developed after graft replacement surgery for aortic aneurysm.
Subject(s)
Adult , Humans , Aneurysm , Aneurysm, False , Aorta , Aortic Aneurysm , Bronchi , Fistula , Hemoptysis , TransplantsABSTRACT
A congenital coronary artery fistula is a rare condition, which is an abnormal communication of the coronary artery with the ventricles or atriums or the pulmonary artery. A case of 69 year-old man, complaining of recent aggravating chest pain for 5 months is reported. The coronary angiography shows coronary artery-pulmonary artery fistula. Multidetector row CT shows coronary artery-pulmonary artery fistula combined with aortopulmonary fistula via common channel and the fistulas were surgically ligated.