A Giant Aortic Arch Aneurysm with Aortopulmonary Fistula

Daita Kobayashi＊	Sentaro Nakanishi＊	Seima Oohira＊
Hayato Ise＊	Natsuya Ishikawa＊	Fumiaki Kimura＊＊
Hideyuki Harada＊＊	Hiroyuki Kamiya＊

（Department of Cardiovascular Surgery, Asahikawa Medical University＊, Asahikawa, Japan, and Department of Cardiovascular Surgery, Kushiro Kojinkai Memorial Hospital＊＊, Kushiro, Japan）

A 69-year-old woman complained of general malaise. Chest X-ray film revealed massive left-sided pleural effusion and CT detected a giant aneurysm of the aortic arch. A diagnosis of ruptured aortic arch aneurysm was made and she underwent total arch replacement as emergency surgery. The intraoperative diagnosis was not a ruptured arch aneurysm but an arch aneurysm penetrating into the left pulmonary artery. The postoperative course was uneventful and the patient was discharged home on the 16th postoperative day.

 

Jpn. J. Cardiovasc. Surg. 48:134-137（2019）

Keywords：arch aneurysm;aortopulmonary fistula;total arch replacement