Aortopulmonary fistula complicating aortic arch aneurysm
Aortopulmonary fistulas secondary to thoracic aneurysms are difficult to diagnose and few cases are reported in the literature. We describe the case of a patient first admitted to another hospital with a diagnosis of right upper lobe pneumonia. After the patient had been a week in hospital without improving, a computed tomography scan of the chest revealed a saccular aneurysm of the aortic arch measuring 9 cm at its widest diameter. Hemodynamics and respiratory signs deteriorated a few hours after transfer to our hospital. Physical examination revealed a systolic murmur and poor peripheral perfusion. The patient was intubated and inotropic support was provided. Upon insertion of a Swan-Ganz catheter, given suspicion of septic shock, progressive elevation of mixed venous oxygen saturation was observed. Measurement of venous oxygen saturation was 74% in the right atrium and 93% in the pulmonary artery. Left-right shunt was diagnosed and an emergency aortography revealed the aortopulmonary fistula. Emergency surgery was performed with the patient in deep hypothermia and cardiocirculatory arrest. There were no adverse events, and postoperative recovery and clinical course were good.
| Medienart: |
Artikel |
|---|
| Erscheinungsjahr: |
2006 |
|---|---|
| Erschienen: |
2006 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:53 |
|---|---|
| Enthalten in: |
Revista espanola de anestesiologia y reanimacion - 53(2006), 1 vom: 19. Jan., Seite 42-5 |
| Sprache: |
Spanisch |
|---|
| Weiterer Titel: |
Fistula aorto-pulmonar como complicación de aneurisma de cayado aórtico |
|---|
| Beteiligte Personen: |
Femenía, F [VerfasserIn] |
|---|
| Themen: |
|---|
| Anmerkungen: |
Date Completed 20.03.2006 Date Revised 21.11.2013 published: Print Citation Status MEDLINE |
|---|
| Förderinstitution / Projekttitel: |
|
|---|
| PPN (Katalog-ID): |
NLM160690633 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM160690633 | ||
| 003 | DE-627 | ||
| 005 | 20231223090617.0 | ||
| 007 | tu | ||
| 008 | 231223s2006 xx ||||| 00| ||spa c | ||
| 028 | 5 | 2 | |a pubmed24n0536.xml |
| 035 | |a (DE-627)NLM160690633 | ||
| 035 | |a (NLM)16475638 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a spa | ||
| 100 | 1 | |a Femenía, F |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Aortopulmonary fistula complicating aortic arch aneurysm |
| 246 | 3 | 3 | |a Fistula aorto-pulmonar como complicación de aneurisma de cayado aórtico |
| 264 | 1 | |c 2006 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 500 | |a Date Completed 20.03.2006 | ||
| 500 | |a Date Revised 21.11.2013 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Aortopulmonary fistulas secondary to thoracic aneurysms are difficult to diagnose and few cases are reported in the literature. We describe the case of a patient first admitted to another hospital with a diagnosis of right upper lobe pneumonia. After the patient had been a week in hospital without improving, a computed tomography scan of the chest revealed a saccular aneurysm of the aortic arch measuring 9 cm at its widest diameter. Hemodynamics and respiratory signs deteriorated a few hours after transfer to our hospital. Physical examination revealed a systolic murmur and poor peripheral perfusion. The patient was intubated and inotropic support was provided. Upon insertion of a Swan-Ganz catheter, given suspicion of septic shock, progressive elevation of mixed venous oxygen saturation was observed. Measurement of venous oxygen saturation was 74% in the right atrium and 93% in the pulmonary artery. Left-right shunt was diagnosed and an emergency aortography revealed the aortopulmonary fistula. Emergency surgery was performed with the patient in deep hypothermia and cardiocirculatory arrest. There were no adverse events, and postoperative recovery and clinical course were good | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 7 | |a Oxygen |2 NLM | |
| 650 | 7 | |a S88TT14065 |2 NLM | |
| 700 | 1 | |a Pita-Romero, R |e verfasserin |4 aut | |
| 700 | 1 | |a Pereira, J |e verfasserin |4 aut | |
| 700 | 1 | |a Varela, M A |e verfasserin |4 aut | |
| 700 | 1 | |a Fernández, D |e verfasserin |4 aut | |
| 700 | 1 | |a López, A |e verfasserin |4 aut | |
| 700 | 1 | |a Diz, J C |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Revista espanola de anestesiologia y reanimacion |d 1967 |g 53(2006), 1 vom: 19. Jan., Seite 42-5 |w (DE-627)NLM00018750X |x 2340-3284 |7 nnns |
| 773 | 1 | 8 | |g volume:53 |g year:2006 |g number:1 |g day:19 |g month:01 |g pages:42-5 |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 53 |j 2006 |e 1 |b 19 |c 01 |h 42-5 | ||