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An Occult Congenital Fistula Between the Descending Aorta and the Left Pulmonary Vein in an Adult Presenting With Recurrent Episodes of HemoptysisFistula Between the Aorta and Pulmonary Vein

Yijie Hu, MD, PhD; Qianjin Zhong, MD, PhD; Zhiping Li, MD, PhD; Jianming Chen, MD, PhD; Cheng Shen, MD, PhD; Yi Song, MM
Author and Funding Information

From the Department of Cardiovascular Surgery, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, China.

Correspondence to: Qianjin Zhong, MD, PhD, No. 10 Changjiang Zhi Rd, Yuzhong District, Chongqing 400042, China; e-mail: zhongqianjin@qq.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;143(2):549-553. doi:10.1378/chest.11-3229
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We report a case of recurrent hemoptysis due to an occult congenital fistula between the descending aorta and the left pulmonary vein in a 25-year-old female patient. The anomaly was confirmed by contrast-enhanced CT scan and angiography. No abnormality was noted in the bronchia and pulmonary arteries. The patient was successfully managed by simple ligation of the fistula. To our knowledge, this is the first reported case of adult-onset hemoptysis caused by an occult congenital fistula between the descending aorta and a pulmonary vein.

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