Postoperative Diagnosis of Aorto-Right Ventricular Outflow Tract Fistula Caused by Stab Wound: A Case Report

Çakır, Çayan; Duygu, Hamza; Kiliçaslan, Barış; Ertaş, Faruk; Ozen, Necmi; Nazlı, Cem; Ergene, Oktay

doi:10.1016/j.echo.2007.05.005

Cited by 8 publications

(11 citation statements)

References 7 publications

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“…An aorto-RV fistula causes a continuous murmur, 6) a thrill 3,5,6) or both. 3,5) Patients with a small aorto-RV fistula may be completely asymptomatic and may have an associated murmur only.…”

Section: Discussionmentioning

confidence: 99%

“…6,8) We recommend yearly follow-up of patients with small shunts, paying particular attention to right heart chamber dimensions and pulmonary artery systolic pressure. With advances in interventional cardiology, it is now possible to close the aorto-RV fistula percutaneously using devices such as a septal occluder (Amplatzer device; AGA Medical Corporation, Plymouth, Minnesota) with 3-dimensional TEE guidance in patients who are poor surgical candidates.…”

Section: Discussionmentioning

confidence: 99%

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Aorto–right Ventricular Fistula: A Complication of Aortic Valve Replacement

Najib¹,

Ng²,

Vinales³

et al. 2012

ATCS

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The occurrence of aorto-right ventricular (aorto-RV) fistula after prosthetic aortic valve replacement is rare. Transthoracic echocardiography (TTE) with color-flow Doppler, transesophageal echocardiography (TEE), or both may be required for diagnosis. A 42-yearold woman sought care for palpitations and dyspnea due to atrial flutter 2 weeks after prosthetic aortic valve replacement and graft replacement of the ascending aorta. TTE and TEE revealed left-to-right shunt due to aorto-RV fistula.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Aorto–right Ventricular Fistula: A Complication of Aortic Valve Replacement

Najib¹,

Ng²,

Vinales³

et al. 2012

ATCS

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“…There are aorto‐ atrial and aorto‐ventricular fistulas secondary to trauma of the chest, 11–17 ruptured aneurysms of the sinus of Valsalva, 18 aortic dissection, 19–23 congenital fistulae between the aorta and right atrium, 24 or ventricle 25 anomalies of coronary arteries 26…”

Section: Discussionmentioning

confidence: 99%

“…If treated surgically, fistulous tract formation was not associated with increased in-hospital mortality. 10 There are aorto-atrial and aorto-ventricular fistulas secondary to trauma of the chest, [11][12][13][14][15][16][17] ruptured aneurysms of the sinus of Valsalva, 18 aortic dissection, [19][20][21][22][23] congenital fistulae between the aorta and right atrium, 24 or ventricle 25 anomalies of coronary arteries. 26 Aorto-right ventricular fistulas may be iatrogenic in origin and develop as a result of surgical intervention, especially AVR, 27,28 although they may also develop after other cardiac surgeries including heart transplantation 29 and repair of dissection of the ascending aorta.…”

Section: Discussionmentioning

confidence: 99%

Three‐Dimensional Transthoracic Echocardiography in Identification of Aorto‐Right Atrial Fistula and Aorto‐Right Ventricular Fistulas

Patel¹,

Fountain

Guglin³

et al. 2010

Echocardiography

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We report the case of a 72-year-old woman who developed new onset right ventricular failure after redo aortic valve replacement. The diagnosis of left to right shunt was initially made using two-dimensional transthoracic echocardiography (2DTTE) and 2D transesophageal echo with color Doppler (TEE). Definite diagnosis of aorto-right atrial and aorto-right ventricular fistula was made using three-dimensional transthoracic echocardiography (3DTTE) with color flow Doppler imaging. Early recognition and diagnosis of this rare surgical complication is imperative for prompt surgical repair of this lethal defect. 3DTTE should be utilized in cases of new onset heart failure with unclear etiology to diagnose unusual causes of this potentially fatal condition.

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“…Confirmation of aortoright ventricular fistula with cardiac CT was reported previously in only seven cases in English literature (Table 1) [5,[10][11][12][13][14], four of these seven cases were congenital, two post aortic valve replacement and the last one was due to type A aortic dissection. Spontaneous closure of ARV fistula has not been reported and thus, careful follow-up of all patients with ARV fistula is prudent [15,16]. Treament of aorto-right ventricular fistula depends on the cause, concomitant hemodynamics status and degree of left to right shunts.…”

Section: Discussionmentioning

confidence: 99%

Uncommon Findings Post Repair of Type A Aortic Dissection

2016

JCCR

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Aorto-right ventricular fistulas are defects of the aortic wall in the area above the right coronary cusp, where it separates the aorta from the right ventricular outflow tract. Often, these injuries are due to trauma, infective endocarditis, rupture sinus of valsalva or occussionally following Aortic valve replacement. We describe aorto right ventricular fistula in a patient 3 months following aortic valve replacement and type A aortic dissection repair.

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Postoperative Diagnosis of Aorto-Right Ventricular Outflow Tract Fistula Caused by Stab Wound: A Case Report

Cited by 8 publications

References 7 publications

Aorto–right Ventricular Fistula: A Complication of Aortic Valve Replacement

Aorto–right Ventricular Fistula: A Complication of Aortic Valve Replacement

Three‐Dimensional Transthoracic Echocardiography in Identification of Aorto‐Right Atrial Fistula and Aorto‐Right Ventricular Fistulas

Uncommon Findings Post Repair of Type A Aortic Dissection

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