Document Detail


Aorto-atrial fistula associated with recurrent aortic dissection after ascending aorta replacement.
MedLine Citation:
PMID:  9972907     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 70-year-old woman with a bicuspid aortic valve had undergone ascending aorta replacement for acute DeBakey type I dissection. Computed tomography and aortography 2 months after the operation revealed a thrombosed false lumen in the ascending aorta proximal to the prosthetic graft. However, recurrence of dissection was found at the aortic root proximal to the graft 4 years after the initial operation. Significant aortic stenosis was also noted. Despite intensive medical treatment, she had refractory and progressive heart failure. At the second surgery, an aorto-right atrial fistula, which probably was responsible for the severe heart failure was revealed. Closure of the aorto-right atrial fistula, and aortic root replacement were performed using Piehler's method, with a composite graft. The etiology and management of this rare case are discussed.
Authors:
H Fujii; T Oka; H Kawaguchi; M Kido; H Ninomiya; M Osako; H Otani; H Imamura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  39     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  1998 Dec 
Date Detail:
Created Date:  1999-03-01     Completed Date:  1999-03-01     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  817-9     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Kansai Medical University, Moriguchi, Osaka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Dissecting / complications,  diagnosis,  surgery*
Angiography
Aorta, Thoracic*
Aortic Aneurysm, Thoracic / complications,  diagnosis,  surgery*
Biocompatible Materials
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
Echocardiography
Female
Fistula / diagnosis,  etiology*,  surgery
Follow-Up Studies
Heart Atria
Heart Diseases / diagnosis,  etiology*,  surgery
Humans
Polyethylene Terephthalates
Prosthesis Failure
Recurrence
Reoperation
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Biocompatible Materials; 0/Polyethylene Terephthalates

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


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