Volume 30, Issue 2 pp. 173-178
Review Article

Type A Aortic Dissection Complicated by an Aorto-Right Atrial Fistula

Peter Sytnik M.D.

Peter Sytnik M.D.

Division of General Surgery, University of Manitoba, Canada

Equal contribution by authors.Search for more papers by this author
Christopher W. White M.D.

Christopher W. White M.D.

Division of Cardiac Surgery, University of Manitoba, Canada

Equal contribution by authors.Search for more papers by this author
Wayne Nates M.D.

Wayne Nates M.D.

Department of Anesthesia and Perioperative Medicine, University of Manitoba, Canada

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Matthew Lytwyn B.Sc.

Matthew Lytwyn B.Sc.

Division of Cardiac Surgery, University of Manitoba, Canada

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Johann Strumpher M.D.

Johann Strumpher M.D.

Department of Anesthesia and Perioperative Medicine, University of Manitoba, Canada

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Rakesh C. Arora M.D., Ph.D.

Rakesh C. Arora M.D., Ph.D.

Division of Cardiac Surgery, University of Manitoba, Canada

Department of Critical Care Medicine, University of Manitoba, Canada

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Darren H. Freed M.D., Ph.D.

Darren H. Freed M.D., Ph.D.

Cardiac Surgery, Mazankowski Alberta Heart Institute, University of Alberta, Canada

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First published: 29 December 2014
Citations: 6

Address for correspondence: Dr. Darren H. Freed, University of Alberta Hospital, 2D4.34 WMC, 8440-112 Street, Edmonton, Alberta, Canada, T6G 2B7. Fax: +1 780 407 3672; e-mail: [email protected]

Conflicts of interest: The authors acknowledge no conflict of interest in the submission.
Funding: None.
Scientific meeting presentation: Canadian Cardiovascular Congress: October 29, 2012.

Abstract

A 63-year-old male underwent an ascending aortic replacement for an acute type A dissection. Nine days later a fistulous communication between the right coronary sinus and right atrium was identified and surgically repaired. We present a literature review, including the clinical presentation, diagnosis, and surgical management of this rare complication. doi: 10.1111/jocs.12503 (J Card Surg 2015;30:173–178)

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