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Ann Thorac Surg 2004;78:2173-2175
© 2004 The Society of Thoracic Surgeons


Case report

Aorto-Right Atrial Fistula Caused by Type A Aortic Dissection

Hironori Matsuhisa, MDa,*, Hidefumi Obo, MDa, Keitaro Nakagiri, MDa, Nobuhiko Mukohara, MDa, Tsutomu Shida, MDa

a Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji, Himeji, Hyogo, Japan

Accepted for publication August 6, 2003.

* Address reprint requests to Dr Matsuhisa, Department of Cardiovascular Surgery, Hyogo Brain and Heart Center at Himeji, 520 Saisyo-kou, Himeji, Hyogo 670-0981, Japan
hmatsuhisa{at}hbhc.jp

We present a rare surgical case of aorto-right atrial fistula caused by type A aortic dissection in an 85-year-old man. Complaints included progressive general fatigue and anorexia caused by right side heart failure. However, there were no symptoms attributable to onset of the aortic dissection. A diagnosis of aorto-right atrial fistula was made from intraoperative transesophageal echocardiography. Total aortic arch replacement concomitant with direct closure of the fistula was performed successfully.







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