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Ann Thorac Surg 1989;47:778-779
© 1989 The Society of Thoracic Surgeons

Articles

Traumatic aorto-right atrial fistula after blunt chest injury

Hang Chang, MD, Shu-Hsun Chu, MD*, Yuan-Teh Lee, MD

Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan, Republic of China

Accepted for publication November 28, 1988.

* Address reprint requests to Dr Shu-Hsun Chu, National Taiwan University Hospital, No. 1, Chang Teh St, Taipei, Taiwan, ROC.

A extremely rare case of traumatic fistula between the aortic root and the right atrium is reported. The patient was involved in a traffic accident 18 months before admission. Aortogram demonstrated a fistulous tract from the noncoronary sinus into the right atrium. Operation revealed a traumatic dissection of the aortic root with rupture into the right atrium. The aortic dissection was repaired and the patient was discharged from the hospital in good condition.




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