Aorto-Cutaneous Fistula after Surgical Treatment of Stanford Type A Aortic Dissection.

Abstract:

:An aorto-cutaneous fistula is a rare complication that occurs after aortic surgery. Due to its rarity, postoperative complications are not normally highlighted in most standard teaching. We report here a case of aorto-cutaneous fistula after surgical treatment of a Stanford type A aortic dissection (AD) in a 67-year-old Chinese male. The patient presented with severe right heart dysfunction and a mass was found in the upper-middle of his chest, which started bleeding in the next years. On admission, preoperative aortic computed tomography angiography (CTA) showed a huge hematoma located in the anterior superior mediastinum and a shunt between the embedding cavity of the aortic root and right atrium. An emergent procedure was performed. Intraoperatively, we found two leaks approximately 2 mm from the anastomosis of the greater curvature of the ascending aortic graft and stented graft after the hematoma was cleared and we confirmed the shunt had a large amount of blood flow after a right atrium incision. After the surgery, the patient was diagnosed with a cerebral hemorrhage, and his family decided to refuse therapy on the third postoperative day (p.o.d.).

journal_name

Int Heart J

authors

Zhao C,Zhu Z,Zheng X,Liu K

doi

10.1536/ihj.17-109

subject

Has Abstract

pub_date

2018-01-27 00:00:00

pages

223-225

issue

1

eissn

1349-2365

issn

1349-3299

journal_volume

59

pub_type

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