Thorac Cardiovasc Surg 2007; 55(2): 122-123
DOI: 10.1055/s-2006-924411
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Aorta-Right Atrial Fistula after VSD Operation

B. Ozay1 , A. S. Okmen2 , M. Idiz1 , E. Okmen2 , B. Ketenci1 , I. Yekeler1
  • 1Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey
  • 2Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey
Weitere Informationen

Publikationsverlauf

Received March 7, 2006

Publikationsdatum:
21. März 2007 (online)

Abstract

We describe a late complication after ventricular septal defect surgical repair. Proximally, the fistula spread into the right atrium, resulting in an aorta-right atrium fistula. This is a previously unreported iatrogenic complication after a cardiac operation. An aorta-to-right atrial fistula developed within 14 years after closure of an atrial and ventricular septal defect. Previous ventricular septal defect operations should be remembered as a possible cause of aorta-right atrial fistula. Surgical correction was required.

References

  • 1 Matsuhisa H, Obo H, Nakagiri K, Mukohara N, Shida T. Aorto-right atrial fistula caused by type A aortic dissection.  Ann Thorac Surg. 2004;  78 2173-2175
  • 2 Akowuah E F, Casula R, Thanos A, Cooper G J. Aorto-right atrial fistula associated with native tricuspid valve endocarditis.  J Cardiovasc Surg. 2002;  43 841-842
  • 3 Chung D A, Page A J, Coulden R A, Nashef S A. Aorto-atrial fistula after operated type A dissection.  Eur J Cardiothorac Surg. 2000;  17 617-619
  • 4 Frank M W, Stout M J. Acute aortic dissection with an aorta-right atrium fistula.  Tex Heart Inst J. 2003;  30 335-336
  • 5 Chun D S, Turrentine M W, Moustapha A, Hoyer M H. Development of aorta-to-right atrial fistula following closure of secundum atrial septal defect using the Amplatzer septal occluder.  Catheter Cardiovasc Interv. 2003;  58 246-251
  • 6 Elwatidy A F, Galal A N, Rhydderch D, Ashmeg A K. Aorto-right atrial fistula.  Ann Thorac Surg. 2003;  76 929-931
  • 7 Chang H, Chu S H, Lee Y T. Traumatic aorto-right atrial fistula after blunt chest injury.  Ann Thorac Surg. 1989;  47 778-779

Dr. Batuhan Ozay

36. Ada, Sedef Cad, Ata 2/5, D: 122

Atasehir-Kadikoy-Istanbul 34756

Turkey

Fax: + 90 21 63 48 93 23

eMail: drbatuhanozay@yahoo.com