title: Type A aortic dissection complicated by an aorto-right atrial fistula.
abstract: A 63-year-old male underwent an ascending aortic replacement for an acute type A dissection. Nine days later a fistulous communication between the right coronary sinus and right atrium was identified and surgically repaired. We present a literature review, including the clinical presentation, diagnosis, and surgical management of this rare complication.
authors.affiliation: Division of General Surgery, University of Manitoba, Canada.
authors.forename: Peter
authors.initials: P
authors.lastname: Sytnik
authors.forename: Christopher W
authors.initials: CW
authors.lastname: White
authors.forename: Wayne
authors.initials: W
authors.lastname: Nates
authors.forename: Matthew
authors.initials: M
authors.lastname: Lytwyn
authors.forename: Johann
authors.initials: J
authors.lastname: Strumpher
authors.forename: Rakesh C
authors.initials: RC
authors.lastname: Arora
authors.forename: Darren H
authors.initials: DH
authors.lastname: Freed
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D054326:Coronary Sinus / Q000601:surgery*; D057210:Delayed Diagnosis; D003952:Diagnostic Imaging; D005402:Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D006325:Heart Atria / Q000601:surgery*; D006331:Heart Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*