PDF(Pubmed)
Abstract：
UNASSIGNED: The acquired communication between the aorta and the pulmonary artery is a rare and potentially life-threatening condition. Its diagnosis is challenging and may require a multimodality imaging approach.
UNASSIGNED: A 67-year-old Caucasian man, admitted for acute respiratory failure unresponsive to medical therapy and non-invasive ventilation, was diagnosed with an aortopulmonary fistula (APF) complicating a pseudoaneurysm of the aortic root. This condition developed after Bentall cardiac surgery, which entailed the use of a straight Dacron aortic graft coupled with a mechanical prosthesis. A multimodal imaging approach, combining echocardiography and computed tomography angiography, was diagnostic and supported the development of a surgical treatment strategy. The patient underwent successful surgical closure of the APF and correction of the aortic pseudoaneurysm.
UNASSIGNED: Aortopulmonary fistula can result in rapid clinical deterioration if left untreated. The combination of echocardiography and computed tomography angiography techniques allowed for the diagnosis and surgical correction of the APF.
UNASSIGNED: A 67-year-old Caucasian man, admitted for acute respiratory failure unresponsive to medical therapy and non-invasive ventilation, was diagnosed with an aortopulmonary fistula (APF) complicating a pseudoaneurysm of the aortic root. This condition developed after Bentall cardiac surgery, which entailed the use of a straight Dacron aortic graft coupled with a mechanical prosthesis. A multimodal imaging approach, combining echocardiography and computed tomography angiography, was diagnostic and supported the development of a surgical treatment strategy. The patient underwent successful surgical closure of the APF and correction of the aortic pseudoaneurysm.
UNASSIGNED: Aortopulmonary fistula can result in rapid clinical deterioration if left untreated. The combination of echocardiography and computed tomography angiography techniques allowed for the diagnosis and surgical correction of the APF.
摘要：
■主动脉和肺动脉之间的获得性交流是一种罕见且可能危及生命的疾病。它的诊断具有挑战性，可能需要多模态成像方法。
■一个67岁的白种人,因对药物治疗和无创通气无反应的急性呼吸衰竭入院，被诊断为主动脉肺瘘（APF），并发主动脉根部假性动脉瘤。这种情况是在Bentall心脏手术后发展起来的,这需要使用直的Dacron主动脉移植物和机械假体。多模态成像方法，结合超声心动图和计算机断层扫描血管造影，是诊断性的，并支持手术治疗策略的发展。患者成功进行了APF的手术闭合和主动脉假性动脉瘤的矫正。
■如果不及时治疗，右肺瘘可导致临床迅速恶化。超声心动图和计算机断层扫描血管造影技术的结合可以对APF进行诊断和手术矫正。
■一个67岁的白种人,因对药物治疗和无创通气无反应的急性呼吸衰竭入院，被诊断为主动脉肺瘘（APF），并发主动脉根部假性动脉瘤。这种情况是在Bentall心脏手术后发展起来的,这需要使用直的Dacron主动脉移植物和机械假体。多模态成像方法，结合超声心动图和计算机断层扫描血管造影，是诊断性的，并支持手术治疗策略的发展。患者成功进行了APF的手术闭合和主动脉假性动脉瘤的矫正。
■如果不及时治疗，右肺瘘可导致临床迅速恶化。超声心动图和计算机断层扫描血管造影技术的结合可以对APF进行诊断和手术矫正。
