Traumatic Aorto-Right Atrial Fistula and Inter Ventricular Septal Defect

Berkowitz, Roy; Rosenbaum, Robert; Hayes, Martin F.; Quinto, Antonio; Matsumoto, Teruo

doi:10.1097/00005373-197308000-00009

Cited by 4 publications

(2 citation statements)

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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%

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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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