Aortic dissection complicated with aorto-right atrium fistula

Abstract

Aorto-right atrium fistula associated with aortic dissection is a very rare complication. Here report a case of successful surgical repair of ascending aortic dissection complicated with aorto-right atrium fistula. A 65-year-old man was presented with sudden chest pain and dyspnea. Fifteen years ago, he had aortic valve replacement. An aortic dissection with fistula to the right atrium was diagnosed by echocardiography and cardiac catheterization. At operation, dense adhesion of the aortic root due to the previous cardiac operation was confirmed, and this was suggested as the cause for this rare complication.

Stanford Type A Aortic Dissection which Ruptured into the Left Atrium: Report of a Case

“…To our knowledge, only three cases have been previously reported in the literature. [1][2][3][4][5][6][7][8][9][10] Most previous reports have emphasized the usefulness of transesophageal echocardiography, which has been shown to be an excellent technique for visualizing these complications. 3 Fistulization to the pulmonary artery, right atrium, and right ventricle in the setting of acute dissections have all been frequently reported.…”