Aortic dissection with aorto-left atrial fistula formation soon after aortic valve replacement: A lethal complication diagnosed by transthoracic and transesophageal echocardiography

Patsouras, Dimitrios; Argyri, Ourania; Siminilakis, Stavros; Michalis, Lambros K.; Sideris, Dimitrios

doi:10.1067/mje.2002.121609

Cited by 26 publications

(16 citation statements)

References 9 publications

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“…[4] Risk factors described include infected tissue before valve replacement, connective tissue abnormalities, extensive aortic annular debridement, and oversized aortic prostheses. [3] Various case reports describe late presentation of similar complications in patients who survived long. [1,5] In another case report of similar aortic root to LA fistula complication, the communication was repaired without going back on CPB.…”

Section: Discussionmentioning

confidence: 97%

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Aortic root to left-atrial fistula after aortic valve replacement: A rare complication and its intraoperative management

Ahmad¹,

Chithiraichelvan²,

Patil³

et al. 2014

Ann Card Anaesth

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Section: Discussionmentioning

confidence: 97%

“…[3] This complication has been rarely diagnosed in the early post-operative period after AVR. [4] Risk factors described include infected tissue before valve replacement, connective tissue abnormalities, extensive aortic annular debridement, and oversized aortic prostheses.…”

Section: Discussionmentioning

confidence: 99%

Aortic root to left-atrial fistula after aortic valve replacement: A rare complication and its intraoperative management

Ahmad¹,

Chithiraichelvan²,

Patil³

et al. 2014

Ann Card Anaesth

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show abstract

“…[4] But this complication has been rarely diagnosed in the early postoperative period after valve replacement. [5] Risk factors described include infected tissue before valve replacement, connective tissue abnormalities, extensive aortic annular debridement, and oversized aortic prostheses.…”

Section: Discussionmentioning

confidence: 99%

“…[5] Risk factors described include infected tissue before valve replacement, connective tissue abnormalities, extensive aortic annular debridement, and oversized aortic prostheses. [4]…”

Section: Discussionmentioning

confidence: 99%

A Rare complication of aorto-left atrial fistula after aortic valve replacement and its management with intraoperative transoesophageal echocardiography

Ahmad

Chithiraichelvan

Patil

et al. 2013

J Cardiovasc Echography

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Aorto-atrial fistula is a rare complication of prosthetic aortic valve replacement and most of them have been diagnosed as a late complication. We present a case of this unusual complication after aortic valve replacement which was diagnosed intraoperatively and this potentially disastrous complication was corrected promptly. Early recognition and diagnosis of this rare surgical complication with intraoperative transoesophageal echocardiography (TEE) is imperative for prompt surgical repair of this lethal defect.

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“…In a previous report we have highlighted the fulminant course of prosthetic valve endocarditis due to Proteus mirabilis leading to aorto-right atrial fistula from rupture of a pseudoaneurysm secondary to prosthetic valve endocarditis [9]. Isolated case reports of AAF as an immediate postoperative complication has also been reported [10]. …”

Section: Discussionmentioning

confidence: 99%

Clinical and echocardiographic features of aorto-atrial fistulas

Ananthasubramaniam

2005

Cardiovasc Ultrasound

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Aorto-atrial fistulas (AAF) are rare but important pathophysiologic conditions of the aorta and have varied presentations such as acute pulmonary edema, chronic heart failure and incidental detection of the fistula. A variety of mechanisms such as aortic dissection, endocarditis with pseudoaneurysm formation, post surgical scenarios or trauma may precipitate the fistula formation. With increasing survival of patients, particularly following complex aortic reconstructive surgeries and redo valve surgeries, recognition of this complication, its clinical features and echocardiographic diagnosis is important. Since physical exam in this condition may be misleading, echocardiography serves as the cornerstone for diagnosis. The case below illustrates aorto-left atrial fistula formation following redo aortic valve surgery with slowly progressive symptoms of heart failure. A brief review of the existing literature of this entity is presented including emphasis on echocardiographic diagnosis and treatment.

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Aortic dissection with aorto-left atrial fistula formation soon after aortic valve replacement: A lethal complication diagnosed by transthoracic and transesophageal echocardiography

Cited by 26 publications

References 9 publications

Aortic root to left-atrial fistula after aortic valve replacement: A rare complication and its intraoperative management

Aortic root to left-atrial fistula after aortic valve replacement: A rare complication and its intraoperative management

A Rare complication of aorto-left atrial fistula after aortic valve replacement and its management with intraoperative transoesophageal echocardiography

Clinical and echocardiographic features of aorto-atrial fistulas

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