title: Aorto-right atrial fistula caused by type A aortic dissection.
abstract: We present a rare surgical case of aorto-right atrial fistula caused by type A aortic dissection in an 85-year-old man. Complaints included progressive general fatigue and anorexia caused by right side heart failure. However, there were no symptoms attributable to onset of the aortic dissection. A diagnosis of aorto-right atrial fistula was made from intraoperative transesophageal echocardiography. Total aortic arch replacement concomitant with direct closure of the fistula was performed successfully.
authors.affiliation: Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji, Himeji, Hyogo, Japan. hmatsuhisa@hbhc.jp
authors.forename: Hironori
authors.initials: H
authors.lastname: Matsuhisa
authors.forename: Hidefumi
authors.initials: H
authors.lastname: Obo
authors.forename: Keitaro
authors.initials: K
authors.lastname: Nakagiri
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Mukohara
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Shida
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging; D001014:Aortic Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D011859:Radiography; D014463:Ultrasonography; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology*