title: Aortic root to left-atrial fistula after aortic valve replacement: a rare complication and its intraoperative management.
abstract: Aorto-atrial fistula is a rare complication of prosthetic aortic valve replacement (AVR) and most of them have been diagnosed as a late complication. We present a case of this unusual complication after AVR. Intraoperative transoesophageal echocardiography identified and diagnosed this rare and potentially disastrous surgical complication and confirmed adequacy of its surgical repair.
authors.affiliation: Department of Cardiothoracic Surgery, Fortis Hospitals, Bengaluru, Karnataka, India.
authors.forename: Tanveer
authors.initials: T
authors.lastname: Ahmad
authors.forename: Satish
authors.initials: S
authors.lastname: Chithiraichelvan
authors.forename: Thimmangouda Ayangouda
authors.initials: TA
authors.lastname: Patil
authors.forename: Vivek
authors.initials: V
authors.lastname: Jawali
mesh_terms: D000368:Aged; D001011:Aorta; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D017548:Echocardiography, Transesophageal; D005402:Fistula / Q000209:etiology*; D006325:Heart Atria; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D008297:Male; D016896:Treatment Outcome