Long-Term Traumatic and Asymptomatic Aorto-Right Atrial Fistula

Abstract

Aorto-atrial fistulas due to cardiac trauma are rare, and survivors require immediate surgical correction. Here, we report a case of an aorto-right atrial fistula due to penetrating trauma after a 16-year evolution, which developed symptoms of acute coronary syndrome and was treated with myocardial revascularization and correction of the aorto-cameral fistula.

Percutaneous closure of congenital aortic–to–right atrial fistula

“…The exit site of the fistula tract in cases of infective endocarditis is evenly distributed between the three sinuses of Valsalva, and the most common fistula tracts extend from the right coronary sinus to the right ventricle, the non‐coronary sinus to the right ventricle, and the left coronary sinus to the left atrium 6 . A case of fistula from the right coronary sinus of Valsalva to the right atrium after trauma has been reported 7 . In our case, since the patient did not have any acquired history (infective endocarditis, aortic or heart operation, etc), it was accepted as congenital ARAF.…”