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Aortopulmonary fistula caused by penetrating atherosclerotic ulcer and intramural hematoma

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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.

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Authors and Affiliations

  1. Department of Thoracic Surgery, Shimane Prefectural Hospital, 4-1-1 Himebara, Izumo, Shimane, 693-8555, Japan

    Jin Sakamoto, Shinji Kosaka & Kyoko Hijiya

  2. Department of Cardiovascular Surgery, Shimane Prefectural Hospital, Shimane, Japan

    Masanobu Yamauchi

  3. Department of Thoracic Surgery, Kyoto University, Kyoto, Japan

    Tsuyoshi Takahashi

Authors
  1. Jin Sakamoto
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  2. Shinji Kosaka
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  3. Masanobu Yamauchi
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  4. Tsuyoshi Takahashi
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  5. Kyoko Hijiya
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Corresponding author

Correspondence to Jin Sakamoto.

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Sakamoto, J., Kosaka, S., Yamauchi, M. et al. Aortopulmonary fistula caused by penetrating atherosclerotic ulcer and intramural hematoma. Gen Thorac Cardiovasc Surg 57, 379–381 (2009). https://doi.org/10.1007/s11748-009-0398-0

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  • DOI: https://doi.org/10.1007/s11748-009-0398-0

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