Aortic Dissection with Fistula between the Sinus of Valsalva and the Right Atrium:Report of a Case].

We report a case of a 72-year-old male with Stanford type A aortic dissection with a fistula between the sinus of Valsalva and the right atrium. Six years before, the patient had undergone coronary artery bypass grafting (CABG) using the left internal thoracic artery and two saphenous vein grafts. This time he was admitted to our hospital due to dyspnea. Computed tomography revealed Stanford type A aortic dissection. Conservative treatment was first adopted, because severe adhesion was expected after CABG and the false lumen of the aorta was partially thrombosed. However, heart failure could not be managed. Repeated transthoracic echocardiography revealed aorto-right atrial shunt. Retrospective reexamination of the echocardiography, the shunt had existed since admission. We performed replacement of the ascending aorta and reimplantation of the saphenous vein grafts. The patient recovered uneventfully.

Citation

Toshihiko Nishi, Takenori Yamazaki. Aortic Dissection with Fistula between the Sinus of Valsalva and the Right Atrium:Report of a Case]. Kyobu geka. The Japanese journal of thoracic surgery. 2021 Jul;74(7):561-563

Mesh Tags

PMID: 34193796

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