Highlights a rare but highly mortal complication of aorto-right atrial fistula following aortic root replacement for acute type A dissection.
Alerts clinicians to rare mortal fistula after aortic root replacement; leaves open incidence, surveillance, and prevention strategies.
The development of a fistula between the aorta and right atrium is a rare complication of ascending aortic dissection and has a high mortality if not diagnosed and surgically treated. Clinical diagnosis is best supported by specialised imaging. In addition it may present technically very challenging problems. We report the first case which follows aortic root replacement for an acute type A dissection. Aorto-right atrial fistula (AoRAF) rarely complicates ascending aortic dissection. We report the first case to follow corrective surgery for aortic dissection.
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Chung et al. (2000) studied this question.
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