Korean Circ J.  2012 Sep;42(9):629-631. 10.4070/kcj.2012.42.9.629.

A Case of Aortic Dissection With Fistula From Aorta to Right Ventricle

• Park H
• Park TH
• Lee DY
• Ahn J
• Baek HK
• Kim MH
• Kim YD
• Park KJ
• Wu JS

• KMID: 2297895
• DOI: http://doi.org/10.4070/kcj.2012.42.9.629

Abstract

Aorto-right ventricular fistula is a very rare complication of aortic dissection. We report a case of acute aortic dissection extending into the right ventricle as documented by echocardiography. The patient survived after successful surgical repair.

Keyword

Dissection; Heart ventricles; Fistula

MeSH Terms

Aorta
Echocardiography
Fistula
Heart Ventricles
Humans

Figure

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  Fig. 1 Transthoracic echocardiography showed severely increased aortic root and ascending aorta with intimal flap.

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  Fig. 2 Transthoracic color Doppler demonstrated shunt from aortic root to right ventricle. RA: right atrium, RV: right ventricle, AoR: aortic root.

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  Fig. 3 Intraoperative findings. The opening of fistula (arrow) was seen on the right ventricular wall.

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