AORTOPULMONARY FISTULA - AN UNCOMMON COMPLICATION IN DYSTROPHIC AORTIC-ANEURYSM

Wall dissection is a typical complication in the evolution of Marfan a ortic aneurysm and usually is associated with valve regurgitation. For mation of a fistula with adjacent structures is very uncommon. We repo rt the case of a 32-year-old man who presented with the typical featur es of Marfan's syndrome, with chronic aneurysm of the ascending aorta and acute aortopulmonary fistula. Diagnosis was made preoperatively by aortography; operation was performed successfully. A review of the li terature only shows a few cages of aortopulmonary fistula in atheroscl erotic, syphilitic, or postendocarditis disease.