Aorto-atrial fistula through the septum in recurrent aortic dissection.
A case of aortic dissection (De Bakey type I) with a fistula to the right atrium through the interatrial septum, diagnosed by transthoracic and transesophageal echocardiography is reported. The patient presented with cardiac failure and a continuous murmur in the right second and third intercostal spaces. The patient underwent successful operative repair.
Russo
C
C
Department of Cardiac Surgery, Ospedale Niguarda Ca' Granda, Milan, Italy. cf.russo@tiscalinet.it
De Chiara
F
F
Bruschi
G
G
Ciliberto
G R
GR
Vitali
E
E
D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001019:Aortic Rupture / Q000150:complications / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D004452:Echocardiography; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006801:Humans; D012008:Recurrence; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery