Aorto-right atrial fistula after Bentall repair.

We describe a man with the Marfan syndrome and a prior ascending aortic aneurysm resection who presented with knee pain and concern of endocarditis. Transesophageal echocardiogram showed no vegetations, and computed tomography angiogram of the heart showed a possible pseudoaneurysm. Cardiac catheterization and aortogram revealed the diagnosis of an aorto-right atrial fistula, which was then operatively repaired. This case highlights the role that cardiac catheterization with aortogram can play in the detection of aorto-atrial fistula. PMID: 28670063 [PubMed - in process]

https://www.ncbi.nlm.nih.gov/pubmed/28670063?dopt=Abstract

Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Howard CE, Velasco CE, Roullard CP, Rafael A Tags: Proc (Bayl Univ Med Cent) Source Type: research