Alexoiu Valerica Lenuta, Ou Phalla, Messika-Zeitoun David, Jacob Brice Lortat, Kirsch Matthias
Department of Cardiothoracic Surgery, Assistance Publique-Hôpitaux de Paris, Hôpital Bichat Claude Bernard, Paris, France;
Department of Radiology, Assistance Publique-Hôpitaux de Paris, Hôpital Bichat Claude Bernard, Paris, France;
Aorta (Stamford). 2014 Dec 1;2(6):293-5. doi: 10.12945/j.aorta.2014.14-035. eCollection 2014 Dec.
We report a rare case of presumed post-traumatic aortic arch aneurysm complicated by an aorto-pulmonary artery fistula. Contrast-enhanced computed tomographic pulmonary angiography completed by dynamic cardiac magnetic resonance imaging allowed adequate preoperative visualization of an 8-mm large fistula between the aneurysm and the left pulmonary artery. The patient underwent successful total aortic arch replacement and closure of the fistula using a patch.