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Acquired aorto-pulmonary artery fistula following proximal aortic surgery

Department of Cardiac Surgery, Queen Elizabeth Hospital & University Hospital, Edgbaston, Birmingham B15 2TH, UK

*Corresponding author. Tel.: +44 121 627 2543; fax: +44 121 627 2542.

E-mail address: Robert.Bonser{at}uhb.nhs.uk (R. Bonser).

A 56-year-old man developed left heart failure secondary to left to right shunt due to acquired aorto-pulmonary artery (PA) fistula. He had previously undergone aortic root replacement for streptococcal aortic valve endocarditis. A modified strategy involving interventional radiology and surgical technique was employed to deal with this complex surgical challenge. A balloon catheter was placed in the right PA to enable fistula occlusion during cardiopulmonary bypass followed by repair using cardiopulmonary bypass and circulatory arrest.

Key Words: Acquired aorto-pulmonary fistula; Combined surgical and interventional radiological approach