Long-Term Traumatic and Asymptomatic Aorto-Right Atrial Fistula

Sandro Gonçalves de Lima1,2, Andréa Bezerra de Melo da Silveira Lordsleem1,2, Kaique Leal Campos1

  • 1Department of Cardiology, Hospital das Clínicas at Universidade Federal de Pernambuco (HC-UFPE), Recife, PE, Brazil.

Insights

A rare aorto-right atrial fistula from penetrating trauma, evolving over 16 years, presented with acute coronary syndrome. Surgical correction combined with myocardial revascularization successfully treated this complex cardiac injury.

Area of Science:

  • Cardiovascular Surgery
  • Trauma Surgery
  • Cardiology

Background:

  • Aorto-atrial fistulas are uncommon but life-threatening consequences of cardiac trauma.
  • Prompt surgical intervention is critical for survivors of aorto-cameral fistulas.

Observation:

  • A 16-year evolution of a penetrating trauma resulted in an aorto-right atrial fistula.
  • The patient presented with symptoms indicative of acute coronary syndrome.

Findings:

  • Successful surgical correction of the aorto-cameral fistula was achieved.
  • Myocardial revascularization was performed concurrently with fistula repair.

Implications:

  • This case highlights the potential for delayed presentation of aorto-atrial fistulas.
  • Complex cardiac trauma management requires a multidisciplinary approach.
  • Long-term surveillance may be necessary for patients with repaired aorto-cameral defects.

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