A Giant Aortic Arch Aneurysm with Aortopulmonary Fistula

VernacularTitle:巨大遠位弓部大動脈瘤肺動脈穿破の1例
Author: Daita KOBAYASHI ¹ ; Sentaro NAKANISHI ¹ ; Seima OOHIRA ¹ ; Hayato ISE ¹ ; Natsuya ISHIKAWA ¹ ; Fumiaki KIMURA ² ; Hideyuki HARADA ² ; Hiroyuki KAMIYA ¹
Author Information

1. Department of Cardiovascular Surgery, Asahikawa Medical University
2. Department of Cardiovascular Surgery, Kushiro Kojinkai Memorial Hospital
Keywords: arch aneurysm; aortopulmonary fistula; total arch replacement
From:Japanese Journal of Cardiovascular Surgery 2019;48(2):134-137
CountryJapan
Language:Japanese
Abstract: A 69-year-old woman complained of general malaise. Chest X-ray film revealed massive left-sided pleural effusion and CT detected a giant aneurysm of the aortic arch. A diagnosis of ruptured aortic arch aneurysm was made and she underwent total arch replacement as emergency surgery. The intraoperative diagnosis was not a ruptured arch aneurysm but an arch aneurysm penetrating into the left pulmonary artery. The postoperative course was uneventful and the patient was discharged home on the 16th postoperative day.