Aorto-atrial fistula 10 days after dissection repair in giant cell arteritis.
Active aortitis caused by giant cell arteritis occurs more commonly than has been previously appreciated, and ascending aortic dissection may occur despite medical therapy, without a preexisting aneurysm or ectasia. We report a case of acute type A aortic dissection in a patient already treated for giant cell arteritis. The aortic root was left intact during the initial surgery, but was completely removed 10 days later after an early postoperative aorto-atrial fistula. Complete removal of the aortic root (Bentall procedure) has been advocated in these patients to prevent late additional aortic complications.
Haddad
Fadia
F
Department of Anesthesiology and Intensive Care, Hotel Dieu de France Hospital, Beirut, Lebanon. fflhlb@yahoo.com
El-Rassi
Issam
I
Haddad
Fadi G
FG
Nemnoum
Rita
R
Jebara
Victor A
VA
D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery; D001705:Bioprosthesis / Q000009:adverse effects*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D013700:Giant Cell Arteritis / Q000150:complications / Q000601:surgery*; D006325:Heart Atria; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D012086:Reoperation; D012850:Sinus of Valsalva / Q000601:surgery; D016157:Vascular Fistula / Q000209:etiology*