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Case Reports
. 2004 Dec;78(6):2173-5.
doi: 10.1016/j.athoracsur.2003.08.007.

Aorto-right atrial fistula caused by type A aortic dissection

Hironori Matsuhisa  1 , Hidefumi Obo, Keitaro Nakagiri, Nobuhiko Mukohara, Tsutomu Shida
Affiliations
Case Reports

Aorto-right atrial fistula caused by type A aortic dissection

Hironori Matsuhisa et al. Ann Thorac Surg. 2004 Dec.

Abstract

We present a rare surgical case of aorto-right atrial fistula caused by type A aortic dissection in an 85-year-old man. Complaints included progressive general fatigue and anorexia caused by right side heart failure. However, there were no symptoms attributable to onset of the aortic dissection. A diagnosis of aorto-right atrial fistula was made from intraoperative transesophageal echocardiography. Total aortic arch replacement concomitant with direct closure of the fistula was performed successfully.

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