title: Gunshot-Induced Aorto-Left Atrial Fistula Diagnosed by Intraoperative Transesophageal Echocardiography.
abstract: Aorto-left atrial fistula (AAF) is rarely encountered in clinical practice, and the early diagnosis can be very challenging. This report describes a unique case of AAF caused by a gunshot injury and the pivotal role of transesophageal echocardiography for diagnosis and assessment.
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington. Electronic address: knandate@uw.edu.
authors.forename: Koichiro
authors.initials: K
authors.lastname: Nandate
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington.
authors.forename: Vijay
authors.initials: V
authors.lastname: Krishnamoorthy
authors.affiliation: Division of Trauma Surgery, Department of Surgery, University of Washington, Seattle, Washington.
authors.forename: Lisa K
authors.initials: LK
authors.lastname: McIntyre
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, University of Washington, Seattle, Washington.
authors.forename: Edward D
authors.initials: ED
authors.lastname: Verrier
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington.
authors.forename: G Burkhard
authors.initials: GB
authors.lastname: Mackensen
mesh_terms: D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D005402:Fistula / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D006325:Heart Atria / Q000293:injuries* / Q000601:surgery*; D006331:Heart Diseases / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D016157:Vascular Fistula / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D014948:Wounds, Gunshot / Q000150:complications / Q000601:surgery*; D055815:Young Adult