Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
권호 표지
DOI QR코드

DOI QR Code

A Case of Aortic Dissection With Fistula From Aorta to Right Ventricle

  • Park, Hye-Kyong (Division of Cardiology, Department of Internal Medicine, Dong-A University College of Medicine) ;
  • Park, Tae-Ho (Division of Cardiology, Department of Internal Medicine, Dong-A University College of Medicine) ;
  • Lee, Dong-Yeol (Division of Cardiology, Department of Internal Medicine, Dong-A University College of Medicine) ;
  • Ahn, Ji-Hye (Division of Cardiology, Department of Internal Medicine, Dong-A University College of Medicine) ;
  • Baek, Hee-Kyung (Division of Cardiology, Department of Internal Medicine, Dong-A University College of Medicine) ;
  • Kim, Moo-Hyun (Division of Cardiology, Department of Internal Medicine, Dong-A University College of Medicine) ;
  • Kim, Young-Dae (Division of Cardiology, Department of Internal Medicine, Dong-A University College of Medicine) ;
  • Park, Kwon-Jae (Department of Thoracic and Cardiovascular Surgery, Dong-A University College of Medicine) ;
  • Wu, Jong-Soo (Department of Thoracic and Cardiovascular Surgery, Dong-A University College of Medicine)
  • Published : 2012.09.30
⟨ Previous Next ⟩

Abstract

Aorto-right ventricular fistula is a very rare complication of aortic dissection. We report a case of acute aortic dissection extending into the right ventricle as documented by echocardiography. The patient survived after successful surgical repair.

Keywords

References

  1. Spier LN, Hall MH, Nelson RL, Parnell VA, Pogo GJ, Tortolani AJ. Aortic dissection: rupture into right ventricle and right pulmonary artery. Ann Thorac Surg 1995;59:1017-9. https://doi.org/10.1016/0003-4975(94)00740-X
  2. Jo YJ, Lee EJ, Oh JW, et al. Aortic dissection and rupture in a child. Korean Cir J 2011;41:156-9. https://doi.org/10.4070/kcj.2011.41.3.156
  3. Boyd LJ. A study of four thousand reported cases of aneurysm of the thoracic aorta. Am J Med Sci 1924;168:654-63. https://doi.org/10.1097/00000441-192411000-00006
  4. Lindsay J Jr. Aortocameral fistula: a rare complication of aortic dissection. Am Heart J 1993;126:441-3. https://doi.org/10.1016/0002-8703(93)91064-L
  5. Estrera AL, Miller CC, Kaneko T, et al. Outcomes of acute type a aortic dissection after previous cardiac surgery. Ann Thorac Surg 2010;89: 1467-74. https://doi.org/10.1016/j.athoracsur.2010.02.015
  6. Gillinov AM, Lytle BW, Kaplon RJ, Casselman FP, Blackstone EH, Cosgrove DM. Dissection of the ascending aorta after previous cardiac surgery: differences in presentation and management. J Thorac Cardiovasc Surg 1999;117:252-60. https://doi.org/10.1016/S0022-5223(99)70420-4
  7. Caruso A, Iarussi D, Materazzi C, et al. Aortic dissection with fistula to left atrium: diagnosis by transesophageal echocardiography with successful repair. J Am Soc Echocardiogr 2000;13:69-72. https://doi.org/10.1016/S0894-7317(00)90047-6
  8. Berman AD, Come PC, Riley MF, Weintraub RM, Johnson RG, Aroesty JM. Two-dimensional and Doppler echocardiographic diagnosis of an aortic to right atrial fistula complicating aortic dissection. J Am Coll Cardiol 1987;9:228-30. https://doi.org/10.1016/S0735-1097(87)80106-7
  9. Hagan PG, Nienaber CA, Isselbacher EM, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA 2000;283:897-903 https://doi.org/10.1001/jama.283.7.897
  10. Alam M. Transesophageal color flow Doppler features of aorta to right ventricle fistula. Chest 1993;103:1907-8. https://doi.org/10.1378/chest.103.6.1907
  11. Perryman RA, Gay WA. Rupture of dissecting thoracic aortic aneurysm into the right ventricle. Am J Cardiol 1972;30:277-81. https://doi.org/10.1016/0002-9149(72)90072-0
  12. Marek D, Nemec P, Maderová K, et al. Acute aortic dissection complicated by fistula from aorta to right ventricle through ventricular septum. Cardiovasc Pathol 2009;18:301-7. https://doi.org/10.1016/j.carpath.2008.08.002
  13. Davies NJ, Butany J, Yock PG, Rakowski H. Aortic dissection and rupture that produce right ventricular perforation: detection by echocardiography and color flow mapping. J Am Soc Echocardiogr 1990;3: 140-4. https://doi.org/10.1016/S0894-7317(14)80508-7
  14. McGoldrick JP, Wells FC. Type 1 aortic dissection with right coronary artery occlusion and fistula to right atrium and right ventricle. Eur J Cardiothorac Surg 1990;4:514-6. https://doi.org/10.1016/1010-7940(90)90177-2

Cited by

  1. Incidentally detected aorto-right atrial fistula in asymptomatic patient with operated aortic dissection vol.3, pp.1, 2012, https://doi.org/10.1016/j.ijcac.2016.12.002
  2. Surgical Repair of a Giant Aorto-Left Ventricular Fistula vol.46, pp.2, 2012, https://doi.org/10.14503/thij-17-6332
  3. Aorta‐to‐right ventricle neoshunt closure using an Amplatzer Duct Occluder II device vol.36, pp.6, 2021, https://doi.org/10.1111/jocs.15475
  4. Severe obstructive sleep apnoea, aortic dissection and aortopulmonary fistula in a 56-year-old patient with syncope vol.14, pp.8, 2021, https://doi.org/10.1136/bcr-2021-244029