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The Annals of Thoracic Surgery, Vol 55, 995-997, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Successful surgical management of an aortic arch aneurysm with acute aorto-pulmonary fistula

SJ Lahey
Division of Cardiothoracic Surgery, New England Deaconess Hospital, Harvard Medical School, Boston, Massachusetts.

Aortic arch aneurysm with acute aorto-pulmonary fistula is usually a postmortem diagnosis. Few reports of successful surgical management are noted. Despite the many advances in cardiac surgery over the last 30 years, the observed mortality rate for surgical correction has been very high. Early diagnosis and prompt surgical intervention using profound hypothermia and total circulatory arrest are essential to successful outcome.

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