Aorto-cardiac fistula etiology, presentation, and management: A systematic review

Foster, Tianne J.; Amin, Ali Hama; Busu, Tatiana; Patel, Kinjan; Farjo, Peter; Hallak, Abdulrahman Al; Ali, Nyaz; Alkhouli, Mohamad

doi:10.1016/j.hrtlng.2019.11.002

Cited by 16 publications

(8 citation statements)

References 23 publications

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“…Dyspnea, palpitations, chest pain, fatigue, and peripheral edema are the most frequently reported symptoms after SOVA rupture. The onset of these symptoms can be acute or gradual ( 3 , 101 ).…”

Section: Discussionmentioning

confidence: 99%

Transcatheter closure of a ruptured sinus of valsalva: a systematic review of the literature

Ayati,

Toofaninejad,

Hosseinsabet

et al. 2023

Front. Cardiovasc. Med.

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BackgroundRuptured sinus of Valsalva (RSOV) is a rare pathology, and current data regarding its symptoms, anatomy, associated pathologies, and appropriate therapeutic approaches are scarce. Transcatheter closure (TCC) has been performed in multiple cases; however, the information on its success rate and complications is limited.MethodsTwo independent reviewers performed an advanced search based on inclusion criteria on Scopus, PubMed, and Embase from January 1985 through July 2022. The main search terms were “Sinus of Valsalva”, “Rupture/Aneurysm”, and “Transcatheter/Catheter/Device”.ResultsTotally, 1,017 relevant articles from the 3 databases were retrieved. After the final review and appraisal, 94 articles describing 407 patients who underwent the TCC of RSOV were included. Males comprised 65% of the studied patients, and the average age was 34.5 years. The total success rate of TCC was 95.6%. Forty-nine patients (12%) developed complications, the most significant of which were sustained residual shunts in 7 patients (1.7%), substantial new onset or progression of aortic insufficiency in 6 (1.5%), and RSOV recurrence in 6 (1.5%). Post-interventional mortality was reported in only 2 patients (0.5%).ConclusionsThe present study is the first systematic review of available data regarding the TCC of RSOV principally comprising case series and case reports. Although TCC seems a good option, precise patient selection is mandatory.

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Section: Discussionmentioning

confidence: 99%

Transcatheter closure of a ruptured sinus of valsalva: a systematic review of the literature

Ayati,

Toofaninejad,

Hosseinsabet

et al. 2023

Front. Cardiovasc. Med.

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“…In a recent systematic review of 300 Aorto‐cardiac fistula patients from 292 studies, 3 the common etiology of fistula was; iatrogenic in 38%, infectious in 25%, followed by traumatic aorto‐cardiac fistula accounting for 14%; and the common locations of fistula were aortic‐right atrium and aortic‐pulmonary artery accounting for 61%, followed by fistula from the aorta to the right ventricle accounting for 18%. Up to now, forty‐seven patients with traumatic aorto‐right ventricular fistula have been described in the English literature.…”

Section: Discussionmentioning

confidence: 99%

“…Given that the severity of patients with intracardiac fistula often depends on the diameters of the fistula and the resulting pressure and blood flow through the fistula, 3 the reason why the patient survived the injury was that the fistula was not large enough to produce significant left‐to‐right shunt. Furthermore, the direct intra‐pericardial cardiac injury primarily affected the low‐pressure system and the hole outside the right ventricle healed through the formation of pericardial adhesion, which enabled spontaneous hemostasis.…”

Section: Discussionmentioning

confidence: 99%

“…There is a consensus that aorto‐cardiac fistula needs to be closed by invasive intervention, particularly if the patients are associated with clinical symptoms; otherwise, their condition will most likely worsen and even lead to death 7,8 . By comparing percutaneous aorto‐cardiac fistula closure with surgical aorto‐cardiac fistula closure, both strategies are successful in closing the fistula and demonstrate comparably low mortality at maximum follow‐up 3 . Although transcatheter or surgical closure of fistula demonstrates little difference in prognosis, median sternotomy can provide optimal surgical vision and better exposure 9 .…”

Section: Discussionmentioning

confidence: 99%

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Chronic aorto‐right ventricular fistula following penetrating cardiac injury: A case report

2020

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Aorto‐cardiac fistula is a rare but potentially life‐threatening condition. We herein report a rare case of chronic aorto‐right ventricular fistula formation secondary to a stab penetrating injury to the heart and aorta occurred 15 years ago. The aorto‐right ventricular fistula was not found until 15 years after the incident. The fistula had been repaired successfully to prevent further deterioration of cardiac function. Here, we report the clinical presentation, diagnosis and treatment strategies of the aorto‐right ventricular fistula, and discuss the possible etiology of the development of the fistula after the penetrating injury.

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“…A study showed that many patients with aorto-cardiac fistulas presented with symptoms of heart failure, with few of them experiencing chest pain or other symptoms. [8] Asymptomatic patients accounted for only 9% of the studied group, with a continuous murmur on auscultation being the only demonstrable finding.…”

Section: Editorialmentioning

confidence: 91%

Rupture of the sinus of Valsalva with fistulous connection with the cardiac chambers: A report of 2 cases

Kalekar,

Rangankar,

Dhirawani

et al. 2024

Afr J Thoracic Crit Care Med

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Aorto-cardiac fistula etiology, presentation, and management: A systematic review

Cited by 16 publications

References 23 publications

Transcatheter closure of a ruptured sinus of valsalva: a systematic review of the literature

Transcatheter closure of a ruptured sinus of valsalva: a systematic review of the literature

Chronic aorto‐right ventricular fistula following penetrating cardiac injury: A case report

Rupture of the sinus of Valsalva with fistulous connection with the cardiac chambers: A report of 2 cases

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