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CC BY 4.0 · Aorta (Stamford) 2014; 02(06): 293-295
DOI: 10.12945/j.aorta.2014.14-035
Images in Aortic Disease
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Post-Traumatic Aortic Arch Aneurysm Complicated by Aorto-Pulmonary Fistula

Valerica Lenuta Alexoiu
1   Department of Cardiothoracic Surgery, Assistance Publique–Hôpitaux de Paris, Hôpital Bichat Claude Bernard, Paris, France
,
Phalla Ou
2   Department of Radiology, Assistance Publique–Hôpitaux de Paris, Hôpital Bichat Claude Bernard, Paris, France
,
David Messika-Zeitoun
3   Department of Cardiology, Assistance Publique–Hôpitaux de Paris, Hôpital Bichat Claude Bernard, Paris, France
,
Brice Lortat Jacob
4   Department of Anaesthesiology and Intensive Care, Assistance Publique–Hôpitaux de Paris, Hôpital Bichat Claude Bernard, Paris, France
,
Matthias Kirsch
1   Department of Cardiothoracic Surgery, Assistance Publique–Hôpitaux de Paris, Hôpital Bichat Claude Bernard, Paris, France
› Author Affiliations
Further Information

Publication History

16 June 2014

18 September 2014

Publication Date:
24 September 2018 (online)

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Abstract

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 aortic arch replacement and closure of the fistula using a patch.

Key Words

Aortic aneurysm - Aorto-pulmonary fistula - Computed tomography scan - Magnetic resonance imaging scan