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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.
Abstract:
Aorto-atrial fistulas due to cardiac trauma are rare, and survivors require immediate surgical correction. Here, we report a case of an aorto-right atrial fistula due to penetrating trauma after a 16-year evolution, which developed symptoms of acute coronary syndrome and was treated with myocardial revascularization and correction of the aorto-cameral fistula.
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