Repair of an iatrogenic aortoatrial fistula

Ladowski, Joseph M.; Hardesty, Robert L.

doi:10.1002/ccd.1810100110

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…Infrequently reported symptoms of aorto‐atrial fistula include recurrent respiratory tract infections and angina 11 . The hallmark physical examination finding is a continuous murmur best heard near the upper‐right sternal border 4–6,8,11 . In our case, diagnostic procedures performed before the second RFA procedure did not show any evidence of an aorto‐cameral fistula making a congenital etiology unlikely.…”

Section: Discussionmentioning

confidence: 55%

“…However, Akar et al 9 described a case of incidental congenital aorto‐right atrial fistula in a 57‐year‐old male being evaluated for unstable angina with 3‐vessel coronary artery disease. Clinical presentation of aorto‐atrial fistula includes heart failure, exertional dyspnea, 6,11 palpitations, 6,11 and incidental murmur 4,6,11 . Infrequently reported symptoms of aorto‐atrial fistula include recurrent respiratory tract infections and angina 11 .…”

Section: Discussionmentioning

confidence: 99%

“…Acquired aorto‐cameral fistulas have been reported after left heart catheterization, 5 with sinus of Valsalva aneurysm, 2,10,11 after percutaneous closure of an atrial septal defect, 4 and complicating aortic dissection 1 . In 1984, Ladowski et al , described an iatrogenic aorto‐atrial fistula acquired during a left‐heart catheterization following forceful advancement of the catheter after resistance was encountered.…”

Section: Discussionmentioning

confidence: 99%

“…Aorto‐cameral fistula is a communication between the ascending aorta and 1 of the cardiac chambers. Aorto‐cameral fistula has been reported in association with aortic dissection, 1 bicuspid aortic valve, 2 sinus of Valsalva aneurysm, 3 cardiac catheterization 4 and certain interventional procedures 5 . Radiofrequency ablation (RFA) for atrial fibrillation (AF) involves transseptal catheterization (TSC) to gain access to the left atrium and pulmonary vein ostia.…”

Section: Introductionmentioning

confidence: 99%

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Aorto‐Right Atrial Fistula Following Transseptal Catheterization and Catheter Ablation for Atrial Fibrillation

Aligeti

South

Hirsh

et al. 2012

Cardiovasc electrophysiol

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Aorto-cameral fistula, either congenital or acquired, is an abnormal connection between the ascending aortic root and one of the cardiac chambers. We report a case of a 61-year-old male with history of atrial fibrillation and 2 radiofrequency ablation procedures, referred to us for surgical Cox Maze procedure. Preoperative cardiac computerized tomography revealed a fistulous connection between the aortic root and the right atrium. Later, the patient underwent successful surgical closure of the fistula during the Cox Maze procedure. In this paper, we also discuss the clinical presentation, natural history, anatomy of the interatrial septum, and management of aorto-cameral fistula.

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Aorto‐Right Atrial Fistula Following Transseptal Catheterization and Catheter Ablation for Atrial Fibrillation

Aligeti

South

Hirsh

et al. 2012

Cardiovasc electrophysiol

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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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