Aorto-Atrial Fistula 10 Days After Dissection Repair in Giant Cell Arteritis

Haddad, Fadia; El‐Rassi, Issam; Haddad, Fadi; Nemnoum, R.; Jebara, Victor A.

doi:10.1016/j.athoracsur.2008.04.095

Cited by 7 publications

(10 citation statements)

References 8 publications

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“…This teleological argument does not, however, correlate with the available literature on surgery for nondissecting giant cell aortitis, where early mortality ranges from 0% 15 to 10% 6 (Table 3). Contrastingly, early mortality in the series describing operative results for dissecting giant cell aortitis is 70% (Table 4), 22‐25 , an outcome drastically worse than the <25% operative mortality expected for all‐comers with aortic dissection 33 …”

Section: Discussionmentioning

confidence: 97%

“… *Data combined from the series by Liu et al 22 and case reports from Berry and Woo, 23 Haddad et al, 24 and Koga et al 25 Proportions represent known data only. …”

Section: Discussionmentioning

confidence: 99%

“…The strategy would be more easily applicable to aortic dissection; however, the combined case reports show a preoperative diagnosis of GCA in 59% (Table 4). 22‐25 …”

Section: Discussionmentioning

confidence: 99%

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Aortic Complications of Giant Cell Arteritis: A Diagnostic and Management Dilemma

Butler

Mundy

Shah

2010

Journal of Cardiac Surgery

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Section: Discussionmentioning

confidence: 97%

“… *Data combined from the series by Liu et al 22 and case reports from Berry and Woo, 23 Haddad et al, 24 and Koga et al 25 Proportions represent known data only. …”

Section: Discussionmentioning

confidence: 99%

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Aortic Complications of Giant Cell Arteritis: A Diagnostic and Management Dilemma

Butler

Mundy

Shah

2010

Journal of Cardiac Surgery

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“…26 Aorto-right ventricular fistulas may be iatrogenic in origin and develop as a result of surgical intervention, especially AVR, 27,28 although they may also develop after other cardiac surgeries including heart transplantation 29 and repair of dissection of the ascending aorta. [30][31][32] Even more conservative interventions like internal jugular vein catheterization may result in a fistula. 33 The acuity of symptoms varies, and patients may develop heart failure during same hospital admission like in the case we are presenting or months and even years after the surgery.…”

Section: Discussionmentioning

confidence: 99%

Three‐Dimensional Transthoracic Echocardiography in Identification of Aorto‐Right Atrial Fistula and Aorto‐Right Ventricular Fistulas

Patel¹,

Fountain

Guglin³

et al. 2010

Echocardiography

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We report the case of a 72-year-old woman who developed new onset right ventricular failure after redo aortic valve replacement. The diagnosis of left to right shunt was initially made using two-dimensional transthoracic echocardiography (2DTTE) and 2D transesophageal echo with color Doppler (TEE). Definite diagnosis of aorto-right atrial and aorto-right ventricular fistula was made using three-dimensional transthoracic echocardiography (3DTTE) with color flow Doppler imaging. Early recognition and diagnosis of this rare surgical complication is imperative for prompt surgical repair of this lethal defect. 3DTTE should be utilized in cases of new onset heart failure with unclear etiology to diagnose unusual causes of this potentially fatal condition.

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“…The formation of fistulas between the aorta and cardiac chambers has been described as a complication of infectious endocarditis, aortic dissection, and paravalvular abscess, or as a late complication derived from procedures as aortic dissection repair , transcatheter closure of an atrial septal defect , or coronary artery bypass surgery.…”

Section: Introductionmentioning

confidence: 99%

Aorto‐right atrial fistula secondary to rupture of an occluded old saphenous venous graft to right coronary artery

Balestrini¹,

Saaibi

Ortiz

2014

Cathet Cardio Intervent

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We report a case of an acquired aorta-right atrial fistula, secondary to a ruptured proximal anastomosis of an old saphenous vein graft 12 years after a coronary artery bypass surgery, in a 57 year old patient with multiple cardiovascular risk factors. On admission, he presented with congestive heart failure and on examination a continuous murmur was detected on the right parasternal border. Catheterization showed a fistula from the proximal anastomosis of an occluded right coronary artery saphenous vein graft draining to the right atrium with a large left to right shunt. The fistula was successfully occluded by a percutaneous approach with a Life Tech duct occluder with complete resolution of heart failure. The patient was discharged one week afterwards. After a two-year follow-up, the fistula remained occluded.

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Aorto-Atrial Fistula 10 Days After Dissection Repair in Giant Cell Arteritis

Cited by 7 publications

References 8 publications

Aortic Complications of Giant Cell Arteritis: A Diagnostic and Management Dilemma

Aortic Complications of Giant Cell Arteritis: A Diagnostic and Management Dilemma

Three‐Dimensional Transthoracic Echocardiography in Identification of Aorto‐Right Atrial Fistula and Aorto‐Right Ventricular Fistulas

Aorto‐right atrial fistula secondary to rupture of an occluded old saphenous venous graft to right coronary artery

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