Aorto-right atrial fistula caused by type A aortic dissection.
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.
Matsuhisa
Hironori
H
Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji, Himeji, Hyogo, Japan. hmatsuhisa@hbhc.jp
Obo
Hidefumi
H
Nakagiri
Keitaro
K
Mukohara
Nobuhiko
N
Shida
Tsutomu
T
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*