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Aorto-Azygous Fistula Complicated by Arteriovenous Aneurysm Treated With Video- Assisted Thoracic Surgery  Huali Hu, MD, Wenliang Liu, MD, Jingqun Tang,

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Presentation on theme: "Aorto-Azygous Fistula Complicated by Arteriovenous Aneurysm Treated With Video- Assisted Thoracic Surgery  Huali Hu, MD, Wenliang Liu, MD, Jingqun Tang,"— Presentation transcript:

1 Aorto-Azygous Fistula Complicated by Arteriovenous Aneurysm Treated With Video- Assisted Thoracic Surgery  Huali Hu, MD, Wenliang Liu, MD, Jingqun Tang, MD, Wei Xiong, MD, Fenglei Yu, MD  The Annals of Thoracic Surgery  Volume 99, Issue 5, Pages e107-e109 (May 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Congenital aorto-azygous fistula complicated by arteriovenous aneurysm. (A and B) Three-dimensional reconstruction of the great vessels shows that the feeding artery (black arrow) originated from the descending aorta, entered into the right thoracic cavity, expanded, and formed the arteriovenous aneurysm (white arrow) with a fistula draining into the azygos vein (black triangle). (C and D) Intraoperative stereogram of the aberrant feeding artery (black arrow), arteriovenous aneurysm (white arrow), and dilated azygos, which was ligated later (black triangle). The Annals of Thoracic Surgery  , e107-e109DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Intraoperative thoracoscopic view showed the dissociation and resection of the aberrant feeding artery (black arrow) using 30-mm Endo GIA camel ultra universal Tri-Stapler. (A) Exposure of the abnormal artery following the ligation and transection of the azygos vein (triangle); (B) Isolation of the aberrant artery and around it with a catheter; (C) Occlusion of the aberrant artery by one Endo-GIA stapler; (D) Cutting of the aberrant artery. The Annals of Thoracic Surgery  , e107-e109DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Computed tomographic reexamination showed that (A and B) communicating artery had been cut and sutured definitively and that (C and D) the arteriovenous aneurysm became smaller with partial thrombogenesis. Black arrow: Cross-sectional scanning of the aberrant artery (A: preoperative; C: postoperative); White arrow: Coronal reconstructed image of the aberrant artery (B: preoperative; D: postoperative). The Annals of Thoracic Surgery  , e107-e109DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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