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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 1998 December;39(6):821-3

language: English

Acquired aor­to­pul­mo­nary fis­tu­la. A case ­report

Fer­lan G., De Pas­quale C., Tes­ti­ni M., Agni­no A., Mar­rau­di­no N., Cas­tel­la­ne­ta G.*, Boven­zi F.*, D’Agostino C.*

From the Institute of Cardiosurgery, Faculty of Medicine, University of Bari
* Division of Cardiology, Polyclinic, Bari, Italy


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A 63-­year-old ­male ­patient ­with no ­prior his­to­ry of ­heart dis­ease was admit­ted in ­acute ­heart fail­ure ­with diag­no­sis of pul­mo­nary throm­boem­bo­lism. 2D-ech­o­car­di­og­ra­phy and col­or-Doppler ech­o­car­di­og­ra­phy ­showed a ­severe aor­tic sten­o­sis asso­ciat­ed ­with an ­acquired aor­to-pul­mo­nary fis­tu­la bridg­ing the ascend­ing aor­ta and the ­main pul­mo­nary ­artery. The diag­no­sis was con­firmed by aor­tog­ra­phy. The ­patient under­went replace­ment of the aor­tic ­valve ­with a bileaf­let mechan­i­cal ­valve. The fis­tu­la was oblit­er­at­ed ­with a Dacron ­patch ­anchored on the edg­es of its aor­tic open­ing. He did ­well post­op­er­a­tive­ly and was dis­charged ­with no com­plaint.

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