Document Detail

Aorto-right atrium fistula caused by detachment after Bentall's operation: report of a case.
MedLine Citation:
PMID:  17342364     Owner:  NLM     Status:  MEDLINE    
A 70-year-old woman was admitted to our hospital for treatment of right heart failure 16 years after undergoing Bentall's operation with a Cabrol shunt procedure. Various investigations showed detachment of the coronary artery and graft. We surmised that the heart failure was caused by a massive left to right shunt between a pseudoaneurysm of the wrapping aortic wall and the right atrium. Intraoperatively, we found a small fistula between the wrapping aortic wall and the right atrium, with complete closure of Cabrol shunt. We performed regrafting of the ascending aorta and reconstruction of the coronary ostium under cardiopulmonary bypass. The patient had an uneventful postoperative course. Detachment of the coronary ostium is a common long-term complication of Bentall's operation, but a Cabrol shunt between the wrapping aortic wall and the right atrium rarely causes congestive heart failure. A fistula between a pseudoaneurysm and the right atrium is even more unusual.
Yasuhito Sakano; Yoshio Misawa; Yu-ichiro Kaminishi; Katsuo Fuse
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-03-09
Journal Detail:
Title:  Surgery today     Volume:  37     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2007  
Date Detail:
Created Date:  2007-03-07     Completed Date:  2007-10-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  234-6     Citation Subset:  IM    
Division of Cardiovascular Surgery, Department of Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, Japan.
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MeSH Terms
Aortic Aneurysm / surgery
Aortic Diseases / etiology*
Cardiovascular Surgical Procedures / adverse effects*
Heart Atria
Heart Diseases / etiology*
Heart Failure / etiology
Vascular Fistula / etiology*

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