{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T04:33:06Z","timestamp":1697689986367},"reference-count":7,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,1,11]],"date-time":"2013-01-11T00:00:00Z","timestamp":1357862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:p>Aortopulmonary artery fistula is uncommon, but the clinical outcome is often lethal. A 76\u2010year\u2010old man with a history of acute thoracic aortic dissection 6\u00a0years previously was admitted with dyspnea. A chest x\u2010ray showed pleural effusion and pulmonary congestion. Transthoracic echocardiography revealed preserved systolic function, but continuous and abnormal flow from the distal aortic arch into the pulmonary artery (<jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content>). Transesophageal echocardiography (<jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content>) in the Doppler color\u2010flow mode demonstrated a left\u2010to\u2010right shunt between a large distal aortic arch aneurysm and the left <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content> via an aortopulmonary fistula and a pressure gradient across the shunt of 56\u00a0mmHg. Contrast\u2010enhanced computed tomography showed that the aneurysm compressed the <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content>. Aortography also revealed a large distal aortic arch aneurysm and almost simultaneous contrast enhancement of the aorta and the <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content>. Right\u2010heart catheterization showed a significant increase in oxygen saturation between the right ventricle and the <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content>. A left\u2010to\u2010right shunt due to a distal aortic arch aneurysm rupturing into the left <jats:styled-content style=\"fixed-case\">PA<\/jats:styled-content> was diagnosed based on these findings. <jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content> was very helpful in confirming the presence and precise location of the fistula.<\/jats:p>","DOI":"10.1111\/echo.12092","type":"journal-article","created":{"date-parts":[[2013,1,11]],"date-time":"2013-01-11T09:11:13Z","timestamp":1357895473000},"source":"Crossref","is-referenced-by-count":2,"title":["Aortopulmonary Artery Fistula: Ruptured Aneurysm of the Distal Aortic Arch into the Pulmonary Artery"],"prefix":"10.1111","volume":"30","author":[{"given":"Osamu","family":"Sasaki","sequence":"first","affiliation":[{"name":"Division of Cardiology Saitama Medical Center Saitama Medical University Kawagoe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihiko","family":"Nishioka","sequence":"additional","affiliation":[{"name":"Division of Cardiology Saitama Medical Center Saitama Medical University Kawagoe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiro","family":"Inoue","sequence":"additional","affiliation":[{"name":"Division of Cardiology Saitama Medical Center Saitama Medical University Kawagoe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideki","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery Ehime Prefectural Central Hospital Matsuyama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Ito","sequence":"additional","affiliation":[{"name":"Division of Cardiology Saitama Medical Center Saitama Medical University Kawagoe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuo","family":"Yoshimoto","sequence":"additional","affiliation":[{"name":"Division of Cardiology Saitama Medical Center Saitama Medical University Kawagoe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,11]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-5273(00)00334-X"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(00)02412-7"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-192411000-00006"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2004.06.019"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2002.119061"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2005.106245"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8175.2000.tb01146.x"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fecho.12092","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.12092","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T21:02:49Z","timestamp":1697662969000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.12092"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,11]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,3]]}},"alternative-id":["10.1111\/echo.12092"],"URL":"https:\/\/doi.org\/10.1111\/echo.12092","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"value":"0742-2822","type":"print"},{"value":"1540-8175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1,11]]}}}