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
Abstract Views: 165
PDF_EARLY VIEW: 64
Publisher's note
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.
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.
Fierro EA, Sikachi RR, Agrawal A, et al. Aorto-Atrial fistulas: a contemporary review. Cardiol Rev 2018;26:137-44.
DOI: https://doi.org/10.1097/CRD.0000000000000182
Gajjar T, Voleti C, Matta R, et al. Aorta‐right atrial tunnel: clinical presentation, diagnostic criteria, and surgical options. J Thorac Cardiovasc Surg 2005;130:1287‐92.
DOI: https://doi.org/10.1016/j.jtcvs.2005.07.021
Onorato E, Casilli F, Mbala‐Mukendi M, et al. Sudden heart failure due to a ruptured posterior Valsalva sinus aneurysm into the right atrium: feasibility of catheter closure using the Amplatzer duct occluder. Ital Heart J 2005;6:603‐7.
Anguera I, Miro JM, Vilacosta I, et al. Aorto-cavitary fistulous tract formation in infective endocarditis: clinical and echocardiographic features of 76 cases and risk factors for mortality. Eur Heart J 2005;26:288-97.
DOI: https://doi.org/10.1093/eurheartj/ehi034
Ananthasubramaniam K, Karthikeyan V. Aortic ring abscess and aorto atrial fistula complicating fulminant prosthetic valve endocarditis due to Proteus mirabilis. J Ultrasound Med 2000;19:63-6.
DOI: https://doi.org/10.7863/jum.2000.19.1.63
Generali T, Garatti A, Biondi A, et al. Aorta to right atrial shunt due to the rupture of a degenerative aneurysm of the noncoronary sinus of Valsalva. J Cardiovasc Med 2013:71-3.
DOI: https://doi.org/10.2459/JCM.0b013e3283528f8c
Campisi S, Cluzel A, Vola M, Fuzellier JF. Idiopathic aortic root to right atrial fistula. J Card Surg 2016;31:373-5.
DOI: https://doi.org/10.1111/jocs.12751
Chessa M, De Rosa G, Giamberti A, et al. Congenital aortico-right atrial communication: a rare case in an adult patient. Int J Cardiol 2006;113:E105-6.
DOI: https://doi.org/10.1016/j.ijcard.2006.05.037
Anguera I, Quaglio G, Miro JM, et al. Aorto cardiac fistulas complicating infective endocarditis. Am J Cardiol 2001;87:652-4.
DOI: https://doi.org/10.1016/S0002-9149(00)01449-1
Rognoni A, Iorio S, Leverone M, Marino P. Aortic pseudoaneurysm and aorta‐right atrium fistula: a case report. G Ital Cardiol 2006;7:234‐7.
Bouchez S, Wouters PF, Vandenplas G. Asymptomatic aorto-atrial fistula identified with intraoperative transesophageal echocardiography. J Cardiothorac Vasc Anesth 2012;26:e76-7.
DOI: https://doi.org/10.1053/j.jvca.2012.06.028
Martyn RT, Monaghan MJ, Michalis LK, Jewitt DE. Aortoatrial fistulae diagnosed by transthoracic and transesophageal echocardiography: advantages of the transesophageal approach. J Am Soc Echocardiogr 1993:6:21-9.
DOI: https://doi.org/10.1016/S0894-7317(14)80252-6
Despotopoulos S, Apostolopoulou S, Vagenakis G, et al. Descending aorta to right atrial fistula: Transcatheter embolization of a very rare anomaly with coils. Clin Case Rep 2024;12:e8529.
DOI: https://doi.org/10.1002/ccr3.8529
Attie F, Rosas M, Granados N, et al. Surgical treatment for secundum atrial septal defects in patients >40 years old. A randomized clinical trial. J Am Coll Cardiol 2001;38:2035-42.
DOI: https://doi.org/10.1016/S0735-1097(01)01635-7
Fuse S, Tomita H, Hatakeyama K, et al. Effect of size of a secundum atrial septal defect on shunt volume. Am J Cardiol 2001;88:1447-50.
DOI: https://doi.org/10.1016/S0002-9149(01)02134-8
Anguera I, Miro JM, San Roman JA, et al. Periannular complications in infective endocarditis involving prosthetic aortic valves. Am J Cardiol 2006;98:1261-8.
DOI: https://doi.org/10.1016/j.amjcard.2006.05.066
Temple Jr. TE, Rainey RL, AnabtawiI N. Aortico-atrial shunt due to rupture of a dissecting aneurysm of the ascending aorta. J Thorac Cardiovasc Surg 1966;52:249-54.
DOI: https://doi.org/10.1016/S0022-5223(19)43440-5
Hernandez-Garcia JM, Alonso-Briales JH, Jimenez-Navarro MF, et al. Transcatheter closure of aorto-left atrial fistula using an Amplatzer device. Rev Esp Cardiol 2005;58:1121-3. [Article in Spanish].
DOI: https://doi.org/10.1016/S1885-5857(06)60443-X
Foster TJ, Amin AH, Busu T, Patel K, et al. Aorto-cardiac fistula etiology, presentation, and management: a systematic review. Heart Lung 2020;49:317-23.
DOI: https://doi.org/10.1016/j.hrtlng.2019.11.002
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.
Copyright (c) 2024 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Jaikrit Bhutani, Aditya Batra, Ashu Gupta, Anshul Gupta, Kunal Mahajan, Transient left ventricular dysfunction after therapeutic pericardiocentesis - Takotsubo cardiomyopathy or pericardial decompression syndrome , Monaldi Archives for Chest Disease: Vol. 92 No. 4 (2022)
- Ramadan M. Nafae, Waheed Shouman, Salwa H. Abdelmoneam, Samah M. Shehata, Conservative versus conventional oxygen therapy in type I acute respiratory failure patients in respiratory intensive care unit, Zagazig University , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Gian Marco Rosa, Andreina D'Agostino, Stefano Giovinazzo, Giovanni La Malfa, Paolo Fontanive, Mario Miccoli, Frank Lloyd Dini, Echocardiography of right ventricular-arterial coupling predicts survival of elderly patients with heart failure and reduced to mid-range ejection fraction , Monaldi Archives for Chest Disease: Vol. 90 No. 2 (2020)
- Mario Stanislao, Antonio Facciorusso, Serena Michelini, Giovanni de Luca, Mario Fanelli, Guido Valle, Early Cardiac Resynchronization Therapy (CRT) improves the outcome in Heart Failure (HF) patients with Left Bundle Branch Block (LBBB) , Monaldi Archives for Chest Disease: Vol. 78 No. 2 (2012): Cardiac series
- Marco Moscarelli, Ruggero De Paulis, The phyllotaxis of the aortic valve , Monaldi Archives for Chest Disease: Vol. 89 No. 3 (2019)
- Reem Al Sergani, Bander Alamro, Mohammed Al Admawi, Isra Elmahi, Gabriella Iannuzzo, Antonio Cittadini, Domenico Galzerano, Khaled M. AlKattan, Three dimensional echocardiographic imaging of multiple recurrent myxomas , Monaldi Archives for Chest Disease: Vol. 90 No. 1 (2020)
- Dario Amore, Marco Rispoli, Umberto Caterino, Dino Casazza, Pasquale Imitazione, Alessandro Saglia, Cristiano Cesaro, Comments on “The surgical approach of late-onset tracheoesophageal fistula in a tracheostomized COVID-19 patient” , Monaldi Archives for Chest Disease: Early Access
- Shekhar Kunal, Kashish Gupta, Shashi Mohan Sharma, Vijay Pathak, Shruti Mittal, Chandrakant Tarke, Cardiovascular system and COVID-19: perspectives from a developing country , Monaldi Archives for Chest Disease: Vol. 90 No. 2 (2020)
- Maurizio Giuseppe Abrignani, Furio Colivicchi, Thromboembolic and hemorrhagic risk stratification in patients with atrial fibrillation. Part I: the thromboembolic risk , Monaldi Archives for Chest Disease: Vol. 80 No. 2 (2013): Cardiac series
- Vito Maurizio Parato, Sara Belleggia, Andrea Giovanni Parato, Umberto Ianni, Michela Molisana, Germana Gizzi, Simone D'Agostino, Melissa Dottori, Marco Di Eusanio, Multi-valve Libman-Sacks’s endocarditis-related multiple, massive and fatal systemic embolization. A case report and a review of diagnostic work-up , Monaldi Archives for Chest Disease: Early Access
<< < 16 17 18 19 20 21 22 23 24 25 > >>
You may also start an advanced similarity search for this article.
