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.
Key words
VSD - fistula - iatrogenic
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
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