https://scholars.lib.ntu.edu.tw/handle/123456789/475031
標題: | Aorto-right atrial fistula: A rare complication of aortic dissection | 作者: | RON-BIN HSU Chien C.-Y. SHOEI-SHEN WANG Chu S.-H. |
公開日期: | 2000 | 卷: | 27 | 期: | 1 | 起(迄)頁: | 64-66 | 來源出版物: | Texas Heart Institute Journal | 摘要: | We describe the successful surgical repair of an acute aortic dissection that had caused an aorto-right atrial fistula in a 67-year-old man. The patient was admitted to the hospital on an emergency basis because of severe heart failure. The diagnosis of acute aortic dissection with rupture into the fight atrium was confirmed by use of intraoperative transesophageal echocardiography, although rupture of a sinus of Valsalva aneurysm into the right atrium had been suggested initially by 2-dimensional and Doppler transthoracic echocardiography. At surgery, we found the patient to have aortic arch dissection with complete separation of the fight coronary artery from the sinus of Valsalva and a false lumen that had ruptured into the fight atrium. The aortic arch was repaired directly. The ascending aorta was successfully replaced with a composite graft. Aortic dissection with rupture into the fight atrium is extremely rare and leads to death rapidly. As shown in this case, such a condition might be mistaken for an aneurysmal rupture of the sinus of Valsalva, with use of transthoracic echocardiography alone. Transesophageal echocardiography is a useful noninvasive method to further define or confirm the diagnosis. Early surgical intervention is necessary in patients with this condition to prevent profound shock and end-organ failure. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033625229&partnerID=40&md5=6e33817b5e3257a3ffb66cf0809dbbfd https://scholars.lib.ntu.edu.tw/handle/123456789/475031 |
ISSN: | 0730-2347 | SDG/關鍵字: | aged; aorta dissection; aorta sinus aneurysm; aortoatrial fistula; article; blood vessel fistula; case report; clinical feature; diagnostic imaging; diagnostic procedure; differential diagnosis; disease course; heart failure; human; male; surgical technique; treatment outcome; aorta disease; aorta rupture; fistula; heart atrium; Aged; Aortic Diseases; Aortic Rupture; Fistula; Heart Atria; Humans; Male |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。