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.
■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。