Type A aortic dissection complicated by an aorto-right atrial fistula

J Card Surg. 2015 Feb;30(2):173-8. doi: 10.1111/jocs.12503. Epub 2014 Dec 29.

Abstract

A 63-year-old male underwent an ascending aortic replacement for an acute type A dissection. Nine days later a fistulous communication between the right coronary sinus and right atrium was identified and surgically repaired. We present a literature review, including the clinical presentation, diagnosis, and surgical management of this rare complication.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Acute Disease
  • Aorta / surgery*
  • Aortic Aneurysm / complications*
  • Aortic Aneurysm / diagnosis
  • Aortic Aneurysm / surgery*
  • Aortic Dissection / complications*
  • Aortic Dissection / diagnosis
  • Aortic Dissection / surgery*
  • Blood Vessel Prosthesis Implantation*
  • Coronary Sinus / surgery*
  • Delayed Diagnosis
  • Diagnostic Imaging
  • Fistula / complications*
  • Fistula / diagnosis
  • Fistula / surgery*
  • Heart Atria / surgery*
  • Heart Diseases / complications*
  • Heart Diseases / diagnosis
  • Heart Diseases / surgery*
  • Heart Failure / etiology
  • Humans
  • Male
  • Middle Aged
  • Time Factors
  • Treatment Outcome
  • Vascular Fistula / complications*
  • Vascular Fistula / diagnosis
  • Vascular Fistula / surgery*