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European Journal of Echocardiography Advance Access published online on January 5, 2009
European Journal of Echocardiography, doi:10.1093/ejechocard/jen329
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

A case report of thoracic aneurysm with aortopulmonary artery fistula

Shreyas A. Modi1,*, Umara Raza2 and SuMin Chang2

1 Department of Cardiology, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA
2 Department of Cardiology, Methodist DeBakey Heart Center, The Methodist Hospital, Houston, TX, USA

Received 9 September 2008; accepted after revision 7 December 2008.

* Corresponding author. Tel: +1 409 772 1533; fax: +1 409 772 4982. E-mail address: samodi{at}utmb.edu


  Abstract

Rupture of an aortic aneurysm into the pulmonary artery is a rare and often a fatal event. This complication results in the development of an acute left to right shunt, volume overload, and rapid right heart deterioration. We describe a case of thoracic aortic aneurysm in whom the diagnosis of a communication with the pulmonary artery was made on the basis of transthoracic echocardiography.

Keywords: Aortic aneurysm; Aortopulmonary artery fistula; Echocardiography


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