Korean Circ J.  2000 Oct;30(10):1291-1294. 10.4070/kcj.2000.30.10.1291.

Congenital aortopulmonary fistula presenting as an exertional dyspnea

• Kim TH
• Moon CI
• Choi JW
• Choi MJ

• KMID: 1938416
• DOI: http://doi.org/10.4070/kcj.2000.30.10.1291

Abstract

Aortopulmonary fistula is an exceedingly rare vascular malformation. It is commonly derived after chest injuly or from complication of chest operation and aortic dissection and congenital aortopulmonary fistula is only several cases combined with Tetralogy of Fallot or aortic stenosis. But a congenital aortopulmonary fistula without any hemodynamic abnormalities was not reported. A 56-year old man with exertional dyspnea was admitted. In an examination on admission, there were no abnomalities. Aortography showed an aortopulmonary fistula that branches from the ascending aorta adjacent to the right coronary artery, running to the main pulmonary artery. Transcatheter coil embolization was performed and he was discharged 7 day after embolization without complication. Exertional dyspnea disappeared and careful follow up has be performed periodically.

MeSH Terms

Aorta
Aortic Valve Stenosis
Aortography
Coronary Vessels
Dyspnea*
Embolization, Therapeutic
Fistula*
Follow-Up Studies
Hemodynamics
Humans
Middle Aged
Pulmonary Artery
Running
Tetralogy of Fallot
Thorax
Vascular Malformations