Post-Traumatic Aortic Arch Aneurysm Complicated by Aorto-Pulmonary Fistula

Post-Traumatic Aortic Arch Aneurysm Complicated by Aorto-Pulmonary Fistula.

We report a rare case of presumed post-traumatic aortic arch aneurysm complicated by an aorto-pulmonary artery fistula. Contrast-enhanced computed tomographic pulmonary angiography completed by dynamic cardiac magnetic resonance imaging allowed adequate preoperative visualization of an 8-mm large fistula between the aneurysm and the left pulmonary artery. The patient underwent successful total ...

Emergent endovascular stent grafting for saccular arch aneurysm complicated by aorto-esophageal fistula.

Aneurysms of aortic arch are rare but amenable to endovascular therapy. Arch aneurysm presenting with aorto-esophageal fistula and hematemesis is a feared, but relatively rare complication. The extrapolation of the safety and rapidity of emergent endovascular repair for bleeding arch aneurysms has been infrequently reported. A bovine arch anatomy confers distinct advantages for endovascular the...

Acute aortic dissection complicated by aorto-right ventricular fistula.

A 68-year-old man with a history of systemic hypertension and chronic renal failure was admitted to our emergency department with chest pain and dyspnea. He had undergone tube graft replacement of the ascending aorta due to an acute type A aortic dissection 10 years previously. On admission he was hypertensive and tachycardic with a continuous murmur at the left upper sternal border. The electr...

Post-aortic left innominate vein with aortic arch aneurysm.

Post-aortic left innominate vein (PALIV) is a rare abnormality passing over the aortic arch. A 70-year-old male was diagnosed with PALIV and distal aortic arch aneurysm (Fig. 1). Total arch replacement was successfully performed using antegrade selective cerebral perfusion of 20 8C. PALIV was preserved by complete exposure and retraction (Fig. 2). Fig. 2. Intraoperative surgeon's view: (A) post...

Infective endocarditis complicated by aortic dissection and aorto-right ventricular fistula.