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

Matsumoto, Kazuhisa; Yamashita, Masataka; Toyohira, H; Nakamura, Yoshihiro

doi:10.1007/s005950300024

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…Aorto‐left atrial fistulae have been reported in a number of different clinical settings, including infective endocarditis of the aortic valve, 1 Stanford type A aortic dissection, 2 following Amplatzer device closure of an atrial septal defect 3 and aortic valve replacement 4 . These communications have variable clinical implications.…”

Section: Introductionmentioning

confidence: 99%

Successful Transcatheter Closure of an Aorto-Left Atrial Fistula

Yaman¹,

Ammash

Espinosa

et al. 2007

Congenital Heart Disease

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Aorto-left atrial fistula is a rare entity in which the integrity of the aortic root bordering the left atrium is disrupted. The clinical presentation is highly variable, depending predominantly on the size of the fistula and the pressure difference between the aorta and the left atrium. Surgical repair was the standard treatment. Recently, however, there have been reports of successful transcatheter closure. We report a 32-year-old male with Shone's syndrome who had multiple prior surgical procedures including aortic and mitral valve replacements. He presented with an aorto-left atrial fistula that was successfully closed percutaneously using an Amplatzer atrial septal defect device.

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Section: Introductionmentioning

confidence: 99%

Successful Transcatheter Closure of an Aorto-Left Atrial Fistula

Yaman¹,

Ammash

Espinosa

et al. 2007

Congenital Heart Disease

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eComment. Fistulous complications of acute dissection of the ascending aorta

Yavuz

Eris

Yümün

et al. 2013

Interactive CardioVascular and Thoracic Surgery

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Aorto-Atrial Fistulas

Fierro

Sikachi²,

Verma

et al. 2018

Cardiology in Review

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Aorto-atrial fistulas (AAFs) are a relatively rare, but potentially life-threatening condition, where an anomalous connection forms between the aortic structures and the cardiac atria. AAFs are most often the result of an underlying condition concerning the cardiac structures. It may be congenital, secondary to conditions such as aortic dissection, infective endocarditis, or valve replacement, or iatrogenic in nature. Secondary causes incite local deterioration of cardiac wall integrity leading to formation of fistulous connections, whereas iatrogenic causes are more traumatic in nature. Signs and symptoms include those of volume overload and heart failure, with patients often presenting with fever, regurgitative murmurs, cardiac chamber dilation, and pedal edema. The diagnosis of AAFs requires a high degree of clinical suspicion necessitating imaging techniques such as echocardiography, computer tomography, and more invasive procedures. Management is dependent on underlying conditions and include the use of antibiotics, percutaneous closure, and in many cases, open heart surgery. It is important for physicians to be aware of this pathological condition to aid in timely management and favorable outcomes. This review attempts to summarize the various causes and clinical presentations of AAFs over the past decades.

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

Cited by 3 publications

References 13 publications

Successful Transcatheter Closure of an Aorto-Left Atrial Fistula

Successful Transcatheter Closure of an Aorto-Left Atrial Fistula

eComment. Fistulous complications of acute dissection of the ascending aorta

Aorto-Atrial Fistulas

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