Endovascular Closure of an Aortic Pseudoaneurysm Complicated by Aorto-Pulmonary Fistula

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Abdallah K Alameddine1,2, Victor K Alimov1,2

  • 1Division of Cardiac Surgery, Baystate Medical Center, Springfield, Massachusetts.

Journal of Cardiac Surgery
|May 7, 2016
PubMed

Insights

A rare aorto-pulmonary fistula caused by an ascending aorta pseudoaneurysm was successfully treated using an endovascular device. This minimally invasive approach offers a life-saving option for complex cardiovascular conditions.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Vascular Surgery

Background:

  • Aorto-pulmonary fistula (APF) is a rare but life-threatening condition.
  • Pseudoaneurysms of the ascending aorta (AOP) can erode, leading to APF.
  • Management of APF often involves complex surgical interventions.

Observation:

  • An 83-year-old male with multiple comorbidities presented with an AOP.
  • The patient's AOP had eroded, forming an aorto-pulmonary fistula.
  • The clinical presentation posed significant risks due to the patient's age and comorbidities.

Findings:

  • The aorto-pulmonary fistula was successfully treated with an endovascular exclusion device.
  • Endovascular repair provided a minimally invasive alternative to open surgery.
  • The patient's condition was stabilized post-procedure.

Implications:

  • Endovascular exclusion devices represent a viable treatment option for APF secondary to AOP.
  • This approach may reduce morbidity and mortality in high-risk patients.
  • Further research into endovascular techniques for complex aortic pathologies is warranted.

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