Aortopulmonary fistula caused by penetrating atherosclerotic ulcer and intramural hematoma |
| |
| Authors: | Jin Sakamoto Shinji Kosaka Masanobu Yamauchi Tsuyoshi Takahashi Kyoko Hijiya |
| |
| Institution: | (1) Department of Thoracic Surgery, Shimane Prefectural Hospital, 4-1-1 Himebara, Izumo, Shimane 693-8555, Japan;(2) Department of Cardiovascular Surgery, Shimane Prefectural Hospital, Shimane, Japan;(3) Department of Thoracic Surgery, Kyoto University, Kyoto, Japan |
| |
| Abstract: | A 75-year-old woman presented with chronic cough and hemoptysis. Chest computed tomography (CT) and aortography revealed a
small, contrast-filled outpouching in the wall of the descending aorta, which was thought to be the source of bleeding. At
thoracotomy, there were firm adhesions between the descending aorta and the left S6. The aorta was clamped and the adhesions
were removed revealing a defect in the aortic wall with thrombus. The defect was sutured. A penetrating atherosclerotic ulcer
and intramural hematoma were diagnosed based on the radiological and operative findings. |
| |
| Keywords: | Penetrating atherosclerotic ulcer Intramural hematoma Aortopulmonary fistula Thoracotomy |
| 本文献已被 SpringerLink 等数据库收录！ |
|
