eComment. Aorto-right atrial fistula in type A aortic dissection

Aorto-right artrial fistula: a rare complication of aortic dissection.

We describe the successful surgical repair of an acute aortic dissection that had caused an aorto-right atrial fistula in a 67-year-old man. The patient was admitted to the hospital on an emergency basis because of severe heart failure. The diagnosis of acute aortic dissection with rupture into the right atrium was confirmed by use of intraoperative transesophageal echocardiography, although ru...

Acute aortic dissection complicated by aorto-right ventricular fistula.

A 68-year-old man with a history of systemic hypertension and chronic renal failure was admitted to our emergency department with chest pain and dyspnea. He had undergone tube graft replacement of the ascending aorta due to an acute type A aortic dissection 10 years previously. On admission he was hypertensive and tachycardic with a continuous murmur at the left upper sternal border. The electr...

Aorto-right atrial fistula after Bentall repair.

We describe a man with the Marfan syndrome and a prior ascending aortic aneurysm resection who presented with knee pain and concern of endocarditis. Transesophageal echocardiogram showed no vegetations, and computed tomography angiogram of the heart showed a possible pseudoaneurysm. Cardiac catheterization and aortogram revealed the diagnosis of an aorto-right atrial fistula, which was then ope...

Aorto--left atrial fistula.

A Chinese man, aged 55 years, was admitted to hospital in January 1964, complaining of increasing shortness of breath on exertion, of about two months' duration. He had had some retrosternal chest discomfort but this was never severe, though it increased in severity following exertion. His face was noted to be swollen in the mornings and this swelling decreased towards the end of the day. In th...

Infective endocarditis complicated by aortic dissection and aorto-right ventricular fistula.