Abstract
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.
MeSH terms
-
Angiography
-
Aorta, Thoracic / abnormalities*
-
Aortic Valve Stenosis / complications
-
Aortic Valve Stenosis / diagnosis
-
Aortic Valve Stenosis / surgery
-
Arterio-Arterial Fistula* / complications
-
Arterio-Arterial Fistula* / diagnosis
-
Arterio-Arterial Fistula* / surgery
-
Biocompatible Materials
-
Blood Vessel Prosthesis
-
Blood Vessel Prosthesis Implantation / instrumentation
-
Diagnosis, Differential
-
Echocardiography, Doppler, Color
-
Follow-Up Studies
-
Heart Valve Prosthesis Implantation
-
Humans
-
Male
-
Middle Aged
-
Polyethylene Terephthalates
-
Pulmonary Artery / abnormalities*
-
Pulmonary Embolism / diagnosis
Substances
-
Biocompatible Materials
-
Polyethylene Terephthalates