Aortic aneurysm involving a right-sided arch complicating aortobronchopulmonary and aortoesophageal fistula

A 66-year-old man with hemoptysis, chest pain, fever, and hoarseness was ad mitted to our department. A right-sided aortic arch and three aneurysms in the proximal arch, distal arch, and descending aorta were confirmed by aort ography and surgery. Fistula formations were discovered between the proxima l arch aneurysm and the right upper lobe (aortobronchopulmonary fistula: AB F), and between the descending aorta and the esophagus (aortoesophageal fis tula: AEF). Concomitant ABF and AEF are very rare. Aortopulmonary and/or ao rtoesophageal fistula complicated by a right-sided aortic arch have not bee n previously reported.