A Case of Aorto-Right Atrial Fistula Following Acute Type A Dissection Repair
10.4326/jjcvs.44.56
- VernacularTitle:急性 A 型大動脈解離術後の大動脈基部瘤右房穿破の1救命例
- Author:
Yasunori Yakita
;
Kenji Mogi
;
Kaoru Matsuura
;
Manabu Sakurai
;
Takashi Ogasawara
;
Yoshiharu Takahara
- Publication Type:Journal Article
- Keywords:
pseudoaneurysm;
aorto-right atrium fistula;
aortic dissection;
total arch replacement;
gelatin-resorcin folmaldehyde glue
- From:Japanese Journal of Cardiovascular Surgery
2015;44(1):56-58
- CountryJapan
- Language:Japanese
-
Abstract:
Patients with an aortic root pseudoaneurysm communicating to the right atrium are rare. A 67-year-old woman underwent ascending aorta and total aortic arch replacement for acute type A aortic dissection at our institute 9 years prior to the current presentation. She was transported to our emergency department with complaints of chest pain, palpitations, and cold sensation. A continuous murmur was heard at the right sternal margin. Contrast-enhanced computed tomography (CT) and ultrasonic cardiography showed a huge pseudoaneurysm at the proximal anastomotic site and an aorto-right atrial fistula. Ascending aortic replacement with concomitant direct closure of the fistula was successfully performed. The patient was discharged in good condition on the 14th postoperative day. Careful follow-up with CT is important after acute type A aortic dissection repair.
