Document Detail


Aortic dissection with fistula to left atrium: diagnosis by transesophageal echocardiography with successful repair.
MedLine Citation:
PMID:  10625836     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aorta-atria fistula is an infrequent complication of aortic dissection, and it is rarely diagnosed before death. A 41-year-old man who 8 years previously had undergone prosthetic aortic valve replacement had an aortic dissection complicated by aorta-left atrial fistula. This patient had acute left heart failure associated with a systolic and diastolic murmur at the lower left sternal border suggesting an aortic prosthetic malfunction. The cardiac diagnosis was made with transesophageal echocardiography and Doppler color flow imaging; it was notable that the cardiac lesions were not detected by transthoracic echocardiography. On the basis of the echocardiographic findings, the patient underwent successful emergency replacement of the dissecting ascending aorta with closure of the aorta-left atrial fistula. Transesophageal echocardiography is the procedure of choice for defining this abnormality. In this case a prompt surgical repair consisting of replacement of the affected segment of the aorta with the prosthesis and closure of the fistula provided optimum resolution of the clinical situation.
Authors:
A Caruso; D Iarussi; C Materazzi; G Dialetto; F Covino; E Bossone; M Cotrufo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  13     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  2000 Jan 
Date Detail:
Created Date:  2000-02-17     Completed Date:  2000-02-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  69-72     Citation Subset:  IM    
Affiliation:
Istituto Medico Chirurgico di Cardiologia, Ospedale Monaldi, Seconda Università Naples, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, Dissecting / complications,  surgery,  ultrasonography*
Aortic Aneurysm, Thoracic / complications,  surgery,  ultrasonography*
Aortic Diseases / complications,  surgery,  ultrasonography*
Echocardiography, Transesophageal*
Fistula / complications,  surgery,  ultrasonography*
Heart Atria / surgery
Heart Diseases / complications,  surgery,  ultrasonography*
Humans
Male
Remission Induction
Vascular Fistula / complications,  surgery,  ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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