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Aorto-right atrial fistula caused by type A aortic dissection
Hironori Matsuhisa1, Hidefumi Obo, Keitaro Nakagiri
1Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji, Himeji, Hyogo, Japan. hmatsuhisa@hbhc.jp
The Annals of Thoracic Surgery
|November 25, 2004
Abstract:
We present a rare surgical case of aorto-right atrial fistula caused by type A aortic dissection in an 85-year-old man. Complaints included progressive general fatigue and anorexia caused by right side heart failure. However, there were no symptoms attributable to onset of the aortic dissection. A diagnosis of aorto-right atrial fistula was made from intraoperative transesophageal echocardiography. Total aortic arch replacement concomitant with direct closure of the fistula was performed successfully.