Acquired aortopulmonary fistula: a case report.

ABSTRACT:

Background

Aortopulmonary fistula is a rare complication of ascending aorta pathology. Presentation is most commonly dramatic with acute onset chest pain or heart failure secondary to left to right shunting. We describe a patient with acquired aortopulmonary fistula who had an insidious onset of heart failure as his presenting complaint. We also highlight the utility of multimodality cardiac imaging in establishing the diagnosis.

Case summary

A 79-year-old male patient with a history of coronary artery bypass graft surgery and mechanical aortic valve replacement, 23 years prior, presented with exertional dyspnoea of 7 months duration. An initial workup that included transthoracic and transoesophageal echocardiography as well as coronary and bypass graft angiography failed to

SUBMITTER: Mahmoud O 

PROVIDER: S-EPMC7501908 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature