Srilakshmi M. Adhyapak, DNB, Arun K. Haridas, Mch, Mogalur C

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Syphilitic Aortitis: An Uncommon Cause of Acquired Aortopulmonary Fistula Srilakshmi M. Adhyapak, DNB, Arun K. Haridas, Mch, Mogalur C. Yeriswamy, MD, Mysore J. Santosh, DNB, Gurappa G. Shetty, DM, Kiron Varghese, DM, Chandrakant B. Patil, DM, Shamanna S. Iyengar, DM, Sunil Joshi, MS The Annals of Thoracic Surgery Volume 88, Issue 5, Pages 1672-1674 (November 2009) DOI: 10.1016/j.athoracsur.2009.03.018 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Echocardiographic image at the basal short-axis showing the fistula with flow from the aorta-to-pulmonary artery. The Annals of Thoracic Surgery 2009 88, 1672-1674DOI: (10.1016/j.athoracsur.2009.03.018) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Contrast computed tomographic image demonstrating the saccular aortic aneurysm (arrow) compressing the main pulmonary artery. The Annals of Thoracic Surgery 2009 88, 1672-1674DOI: (10.1016/j.athoracsur.2009.03.018) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative anatomy of the aortic aneurysm and its relation to surrounding structures. The Annals of Thoracic Surgery 2009 88, 1672-1674DOI: (10.1016/j.athoracsur.2009.03.018) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Intraoperative view of the aortopulmonary fistula. The Annals of Thoracic Surgery 2009 88, 1672-1674DOI: (10.1016/j.athoracsur.2009.03.018) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Histopathology slide showing syphilitic endarteritis obliterans. (Hematoxylin & eosin stain, ×40.) The Annals of Thoracic Surgery 2009 88, 1672-1674DOI: (10.1016/j.athoracsur.2009.03.018) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions