title: Type A aortic dissection complicated with fistulization into the right atrium and right-to-left shunt.
abstract: Fistulization between the aorta and the right atrium is a rare complication of ascending aortic dissection. Because of the typical haemodynamic unstability, the diagnosis is often made by bedside or intraoperative transoesophageal echocardiography. The treatment is surgical, but with very high mortality. We describe a case of type A aortic dissection complicated with shock and fistulization into the right atrium with the right-to-left shunt through a patent foramen ovale. Surgical repair was successful.
authors: Division of Thoracic and Cardiovascular Surgery, University of Louisville, Louisville, KY 40202, USA. spagni@louisvilleheartsurgery.com
authors: Sebastian
authors: S
authors: Pagni
authors: Christopher
authors: C
authors: Mascio
authors: Jaimin
authors: J
authors: Trivedi
authors: Jiapeng
authors: J
authors: Huang
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D001026:Coronary Artery Bypass; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D005402:Fistula / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D054092:Foramen Ovale, Patent / Q000150:complications / Q000503:physiopathology; D006325:Heart Atria / Q000503:physiopathology; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006439:Hemodynamics; D006801:Humans; D012770:Shock, Cardiogenic / Q000209:etiology; D016896:Treatment Outcome
keywords: Aortic dissection; Aorto-atrial fistula; Atrial shunt