Abstract
Aorto-pulmonary artery fistula is a rare and lethal occurrence after thoracic surgery and aortic aneurysms. Here we present a rare occurrence of acute aorto-pulmonary artery fistula in outpatient department in a follow up patient of aortic valve replacement and discuss challenges faced in diagnosis, etiopathogenesis and management.
Highlights
An acquired aorto-pulmonary artery fistula is essentially a rare condition with very low chances of survival
We present the case of a 42-year-old male patient who is a follow up case of aortic valve replacement presenting with sudden onset aorto-pulmonary fistula on his follow up visit after a month
The gradient across the aortic valve was 100 mm Hg and the coronary angiography was within normal limits
Summary
An acquired aorto-pulmonary artery fistula is essentially a rare condition with very low chances of survival. It presents with an acute onset with rapid deterioration. We present the case of a 42-year-old male patient who is a follow up case of aortic valve replacement presenting with sudden onset aorto-pulmonary fistula on his follow up visit after a month
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