Aorto–Right Atrial Fistula: A Rare Complication of Aortic Dissection

AUTOR(ES)
RESUMO

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 right 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.

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