https://doi.org/10.4081/monaldi.2024.3039
Aortic pseudoaneurysm with a fistula between the non-coronary sinus and right atrium: a case report
Submitted: April 28, 2024
Accepted: May 23, 2024
Published: August 29, 2024
Accepted: May 23, 2024
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
The authors present a case report of a 68-year-old man evaluated at the emergency department for repeated syncope, asthenia, and general malaise, suggesting heart failure in a patient with several comorbidities. At presentation, the patient was afebrile, but he had reported a low-grade fever in the previous six months. At first glance, transthoracic echocardiography was not clear, while transesophageal echocardiography revealed an echo-free image at the level of the non-coronary sinus of the aortic root, suggestive of a pseudoaneurysm, communicating with the right atrium with continuous systo-diastolic flow, compatible with the aorto-cavitary fistula between the aortic root and the RA. Echocardiographic findings were confirmed by cardiac computed tomography. The case was discussed with the heart team and was considered suitable for surgery, but the patient suddenly died just before surgery due to impairment and friability.
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How to Cite
Toritto, Paolo, Elena Cescutti, Igor Vendramin, Michela Puppato, Massimo Imazio, Stefano De Carli, and Olga Vriz. 2024. “Aortic Pseudoaneurysm With a Fistula Between the Non-Coronary Sinus and Right Atrium: A Case Report”. Monaldi Archives for Chest Disease, August. https://doi.org/10.4081/monaldi.2024.3039.
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