title: Aortic dissection and rupture that produce right ventricular perforation: detection by echocardiography and color flow mapping.
abstract: Aorta to right ventricular fistula is a rare complication of ascending aortic dissection that has previously been diagnosed ante mortem only by cardiac catheterization. This report describes a patient who had aorta to right ventricular fistula that caused a left-to-right shunt and marked hemodynamic instability. An anatomic diagnosis was made rapidly in this patient by use of echocardiographic techniques. Two-dimensional and Doppler echocardiography have an important role in defining the cause of cardiovascular collapse after aortic dissection.
authors.affiliation: Division of Cardiology, Toronto General Hospital, Canada.
authors.forename: N J
authors.initials: NJ
authors.lastname: Davies
authors.forename: J
authors.initials: J
authors.lastname: Butany
authors.forename: P G
authors.initials: PG
authors.lastname: Yock
authors.forename: H
authors.initials: H
authors.lastname: Rakowski
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis*; D001011:Aorta; D001019:Aortic Rupture / Q000175:diagnosis*; D009202:Cardiomyopathies / Q000175:diagnosis; D004452:Echocardiography; D015150:Echocardiography, Doppler; D005402:Fistula / Q000175:diagnosis; D006341:Heart Rupture / Q000175:diagnosis*; D006352:Heart Ventricles; D006406:Hematoma / Q000175:diagnosis; D006801:Humans; D008297:Male