Aorto–Left Atrial Fistula With Bicuspid Aortic Valve and Coronary Artery Origin Anomaly

Topcuoglu, Mehmet Sah; Salih, Orhan Kemal; Şan, Mustafa; Kayhan, Cem; Ulus, Tümer

doi:10.1016/s0003-4975(96)01219-2

Cited by 8 publications

(4 citation statements)

References 5 publications

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“…Unlike previous cases in the literature, the aortic–left atrial tunnel was an isolated finding. Other reports of aortic–left atrial tunnel have been associated with coronary artery anomalies, bicuspid aortic valve, and secundum atrial septal defects . Indications for closure of the tunnel include left ventricular volume overload as well as the risk of endocarditis, aneurysm formation, and vascular rupture.…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Device Closure of a Congenital Aortic-Left Atrial Tunnel

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Transcatheter Device Closure of a Congenital Aortic-Left Atrial Tunnel

et al. 2013

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“…The communication between the ascending aorta and the left atrium is more commonly reported than that of the descending aorta and left atrium 1 2 , 3 These are more commonly acquired and usually caused by trauma, operation, or infection 4 5 , 6 The congenital fistulas are usually associated with aneurysmal aortic sinuses, commonly opening in to right-sided chambers.…”

Section: Discussionmentioning

confidence: 99%

Association of congenital descending aorto–left atrial fistula with the aortopulmonary window and atrial septal defect

2013

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We report a case of fistula between the descending aorta and the left atrium with associated aortopulmonary window and secundum atrial septal defect. No previous reports of such association have been found in the literature. A 5-month-old infant presented with heart failure from the age of 2 weeks. Echocardiography confirmed the presence of an aorto-left atrial fistula, aortopulmonary window, and atrial septal defect. The diagnosis was additionally supported by computed tomography. The entity aorto-left atrial fistula is rare. It is mostly acquired and usually between the ascending aorta and the right atrium or right ventricle or left ventricle. We do not know about all the associated anomalies, which have implications in management. There is a case report of ascending aorto-left atrial fistula associated with bicuspid aortic valve and anomalous origin of coronaries. Here we are reporting a case of descending aorto-left atrial fistula associated with aortopulmonary window.

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“…Most of common etiologies of AAF are related to its occurrence as a result of bacterial endocarditis, paravalvular abscess, ruptured sinus of Valsalva, aortic dissection and possibly of congenital etiology [2-6]. …”

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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Aorto–Left Atrial Fistula With Bicuspid Aortic Valve and Coronary Artery Origin Anomaly

Cited by 8 publications

References 5 publications

Transcatheter Device Closure of a Congenital Aortic-Left Atrial Tunnel

Transcatheter Device Closure of a Congenital Aortic-Left Atrial Tunnel

Association of congenital descending aorto–left atrial fistula with the aortopulmonary window and atrial septal defect

Clinical and echocardiographic features of aorto-atrial fistulas

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