Iatrogenic Atrial Septal Defect and Aortoatrial Fistula in a Patient With Endovascular Prosthesis in the Inferior Vena Cava

Barrio-López, María Teresa; Martín-Trenor, Alejandro; Mastrobuoni, Stefano; Gavira-Gómez, Juan J.

doi:10.1016/j.athoracsur.2011.08.079

Cited by 3 publications

(1 citation statement)

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“…Larger devices than catheters and migrated stents [31][32][33][34][35][36][37][38][39][40] cause symptoms more often than catheters and are discovered shortly after insertion, between 1 day and 1 year. Cardiac injury is more extensive in the aorto-right atrial fistula with a perforation of the interatrial septum (2 patients) and 35,36 bloody pericardial effusion in 1. 35 Severe tricuspid regurgitation with right heart failure occurred due to damage of the tricuspid valve with a migrated Wallstent in 2 cases.…”

Section: Discussionmentioning

confidence: 99%

Foreign Bodies in the Heart

Leitman

Vered

2014

Echocardiography

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Section: Discussionmentioning

confidence: 99%

Foreign Bodies in the Heart

Leitman

Vered

2014

Echocardiography

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Aorto-Atrial Fistulas

Fierro

Sikachi²,

Verma

et al. 2018

Cardiology in Review

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Aorto-atrial fistulas (AAFs) are a relatively rare, but potentially life-threatening condition, where an anomalous connection forms between the aortic structures and the cardiac atria. AAFs are most often the result of an underlying condition concerning the cardiac structures. It may be congenital, secondary to conditions such as aortic dissection, infective endocarditis, or valve replacement, or iatrogenic in nature. Secondary causes incite local deterioration of cardiac wall integrity leading to formation of fistulous connections, whereas iatrogenic causes are more traumatic in nature. Signs and symptoms include those of volume overload and heart failure, with patients often presenting with fever, regurgitative murmurs, cardiac chamber dilation, and pedal edema. The diagnosis of AAFs requires a high degree of clinical suspicion necessitating imaging techniques such as echocardiography, computer tomography, and more invasive procedures. Management is dependent on underlying conditions and include the use of antibiotics, percutaneous closure, and in many cases, open heart surgery. It is important for physicians to be aware of this pathological condition to aid in timely management and favorable outcomes. This review attempts to summarize the various causes and clinical presentations of AAFs over the past decades.

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