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Case Reports
. 2017 Jul;30(3):301-302.
doi: 10.1080/08998280.2017.11929622.

Aorto-right atrial fistula after Bentall repair

Charles E Howard  1 , Carlos E Velasco  1 , Christina P Roullard  1 , Aldo Rafael  1
Affiliations
Case Reports

Aorto-right atrial fistula after Bentall repair

Charles E Howard et al. Proc (Bayl Univ Med Cent). 2017 Jul.

Abstract

We describe a man with the Marfan syndrome and a prior ascending aortic aneurysm resection who presented with knee pain and concern of endocarditis. Transesophageal echocardiogram showed no vegetations, and computed tomography angiogram of the heart showed a possible pseudoaneurysm. Cardiac catheterization and aortogram revealed the diagnosis of an aorto-right atrial fistula, which was then operatively repaired. This case highlights the role that cardiac catheterization with aortogram can play in the detection of aorto-atrial fistula.

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Figures

Figure 1.
Figure 1.
Ascending aorta angiogram showing a shunt from the aorta to the right atrium (arrow).
Figure 2.
Figure 2.
Intraoperative transesophageal echocardiogram showing the aorto-right atrial shunt (arrow).
See this image and copyright information in PMC

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