ACQUIRED ARTERIOVENOUS FISTULA BETWEEN THE AORTA AND A PULMONARY ARTERY: REPORT OF A CASE IN WHICH RUPTURE OF A SYPHILITIC AORTIC ANEURYSM WAS RESPONSIBLE
Authors: D W LEVIN, W H RANDEL, F RATNER
Journal: Annals of Internal Medicine (1953)

Case Reports1 March 1953ACQUIRED ARTERIOVENOUS FISTULA BETWEEN THE AORTA AND A PULMONARY ARTERY: REPORT OF A CASE IN WHICH RUPTURE OF A SYPHILITIC AORTIC ANEURYSM WAS RESPONSIBLEDAVID W. LEVIN, M.D., WILMER H. RANDEL JR., M.D., FRANK RATNER, M.D.DAVID W. LEVIN, M.D., WILMER H. RANDEL JR., M.D., FRANK RATNER, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-38-3-601 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe syndrome of rupture of an aortic aneurysm into a pulmonary artery is extremely rare: only 90-odd cases have been reported to date. Antemortem diagnosis is even rarer, because clinicians have not had the entity sufficiently brought to mind. The following case is reported, primarily, to emphasize the existence of this pathologic condition, to point out that the diagnosis can be made prior to death, and to show how such a diagnosis can be made; and secondarily, to add one more case to the world literature which, as noted above, is minimal.CASE REPORTA 38 year old Negro male...Bibliography1. Wells WC: A case of aneurysm of the aorta communicating with the pulmonary artery, Tr. Soc. Improv. Med. and Chir. Knowl. 3: 85, 1812. Google Scholar2. Nicholson RE: The syndrome of an aortic aneurysm rupturing into the pulmonary artery, review of the literature with report of two cases, Ann. Int. Med. 19: 286-325, 1943. LinkGoogle Scholar3. Porter WB: The syndrome of an aortic aneurysm rupturing into the pulmonary artery, Am. Heart J. 23: 468-482, 1942. CrossrefGoogle Scholar4. WhiteChamberlainKelson PDFLSR: Rupture of aorta into the pulmonary artery with long survival, Ann. Int. Med. 15: 589-597, 1941. LinkGoogle Scholar5. Scott RW: Aortic aneurysm rupturing into the pulmonary artery, report of two cases, J. A. M. A. 82: 1417, 1924. CrossrefGoogle Scholar6. KleinPorter AWB: Syphilitic aneurysm of the aorta with rupture into the pulmonary artery, Am. Heart J. 39: 465, 1950. CrossrefMedlineGoogle Scholar7. Boyd LJ: A study of 4000 reported cases of aneurysm of the thoracic aorta, Am. J. M. Sc. 168: 654, 1924. CrossrefGoogle Scholar8. ClercBascourretFroyez AMR: Communication entre l'aorte et l'artère pulmonaire par rupture d'anéurysme avec survie de plus de quartre ans, Bull. et mém. Soc. méd. d. hôp. de Paris 47: 1288, 1931. Google Scholar9. Thurman J: On aneurysm and especially spontaneous varicose aneurysm of the ascending aorta and sinuses of Valsalva, Med. Chir. Trans. London 23: 323, 1840. MedlineGoogle Scholar10. Hope J: Disease of the heart and great vessels (Munro's case), 1839, Churchill, London, p. 469. Google Scholar11. PepperGriffith WJP: Varicose aneurysms of the aorta, Am. J. M. Sc. 100: 329, 1890. CrossrefGoogle Scholar12. Clarke JM: A case of varicose aneurysm of the aorta communicating with the pulmonary artery, Brit. M. J. 2: 170, 1900. CrossrefGoogle Scholar13. HillRowlands LRA: The systolic blood pressure (1) in change of posture and (2) in aortic regurgitation, Heart 3: 219, 1911-12. Google Scholar14. LewisDrury TAN: Observation relating to arteriovenous aneurysms, Heart 10: 301, 1923. Google Scholar15. PearsonNichol JRES: The syndrome of compression of the pulmonary artery by a syphilitic aortic aneurysm resulting in chronic cor pulmonale, with report of a case, Ann. Int. Med. 34: 483, 1951. LinkGoogle Scholar16. Hitzig WM: Value of circulation times, Mod. Concepts Cardiovas. Dis. 16: (Aug.) 1947. Google Scholar17. CosbyGriffith RSGP: Interatrial septal defect, Am. Heart J. 38: 80-89 (July) 1949. CrossrefMedlineGoogle Scholar18. BrillJones ICRS: The syndrome of compression of the pulmonary artery by a syphilitic aortic aneurysm with or without arterio-arterial communication, Ann. Int. Med. 24: 111-118, 1946. LinkGoogle Scholar19. DelfMaxwell MHR: Rupture of an aortic aneurysm into the pulmonary artery, J. A. M. A. 110: 1647-1649, 1938. CrossrefGoogle Scholar20. Peacock TB: Aneurysms of the ascending aorta pressing upon the base of the right ventricle and opening into the origin of the pulmonary artery, Tr. Path. Soc. London 19: 111, 1868. Google Scholar21. SchattenbergHarris HJWH: Aortic aneurysm with rupture into the pulmonary artery, Am. Heart J. 25: 512-521, 1943. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication September 6, 1952.From the Department of Pathology of the Queens General Hospital, Jamaica, Long Island, N. Y., Alfred A. Angrist, M.D., Pathologist. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byRupture of a Dissecting Aortic Aneurysm into the left pulmonary artery in a HorseThe syndrome of compression of the pulmonary artery by an aneurysm of the ascending aortaCor pulmonaleCor pulmonaleClinical Studies on Involvement of the Pulmonary Artery by Syphilitic Aortic AneurysmsFurther Progress in Venereology 1 March 1953Volume 38, Issue 3Page: 601-610KeywordsAneurysmsAortaFistulasPathologistsPulmonary arteries ePublished: 1 December 2008 Issue Published: 1 March 1953 PDF downloadLoading ...