Aorto-atrial fistula without aneurysm formation in Behçet's disease.
Cardiac disease is known to occur in patients with the multisystemic inflammatory disorder Behçet's disease. An aorto-atrial fistula secondary to Behçet's disease without a sinus of Valsalva aneurysm has not been previously reported. A 30 year old man with a four year history of symptoms and signs consistent with Behçet's disease presented with an aorto-atrial fistula and a large left to right shunt. At operation the defect was repaired with a bovine pericardial patch. There was no evidence of aneurysm formation. The patient made a good recovery and was well at one year follow up.
Melua
A
A
Department of Cardiac Surgery, Royal Victoria Hospital, Belfast, UK.
Campbell
N
N
McCluskey
D
D
MacGowan
S W
SW
D000328:Adult; D001011:Aorta / Q000473:pathology; D001018:Aortic Diseases / Q000150:complications* / Q000473:pathology; D001528:Behcet Syndrome / Q000150:complications*; D005402:Fistula / Q000150:complications* / Q000473:pathology; D006325:Heart Atria / Q000473:pathology; D006331:Heart Diseases / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D016157:Vascular Fistula / Q000150:complications*