Clinical and echocardiographic features of aorto-atrial fistulas

被引：35

作者：

Ananthasubramaniam K. ^{[1
]}

机构：

[1] Henry Ford Heart and Vasc. Institute, Detroit

来源：

Cardiovascular Ultrasound | / 3卷 / 1期

关键词：

Endocarditis; Left Atrium; Aortic Dissection; Prosthetic Valve; Rheumatic Heart Disease;

D O I：

10.1186/1476-7120-3-1

中图分类号：

学科分类号：

摘要：

Aorto-atrial fistulas (AAF) are rare but important pathophysiologic conditions of the aorta and have varied presentations such as acute pulmonary edema, chronic heart failure and incidental detection of the fistula. A variety of mechanisms such as aortic dissection, endocarditis with pseudoaneurysm formation, post surgical scenarios or trauma may precipitate the fistula formation. With increasing survival of patients, particularly following complex aortic reconstructive surgeries and redo valve surgeries, recognition of this complication, its clinical features and echocardiographic diagnosis is important. Since physical exam in this condition may be misleading, echocardiography serves as the cornerstone for diagnosis. The case below illustrates aorto-left atrial fistula formation following redo aortic valve surgery with slowly progressive symptoms of heart failure. A brief review of the existing literature of this entity is presented including emphasis on echocardiographic diagnosis and treatment. © 2005 Ananthasubramaniam; licensee BioMed Central Ltd.

引用

共 13 条

[1]

Boyd L.J., A study of four thousand cases of aneurysm of the thoracic aorta, Am J Med Sci, 168, pp. 654-668, (1924)

[2]

Oliveira J.S.M., Bestetti R.B., Marin-Neto J.A., Costa R.S., Carneiro J.J., Ruptured aortic dissection into the left atrium: A rare case of congestive heart failure, Am Heart J, 121, pp. 936-938, (1991)

[3]

Arnett E.N., Roberts W.C., Valve ring abscess in active infective endocarditis

[4]

frequency, location and clues to clinical diagnosis from study of 95 necropsy patients, Circulation, 54, pp. 140-145, (1976)

[5]

Sakakibara S., Konno S., Congenital aneurysms of sinus of Valsalva. A clinical study, Am Heart J, 63, pp. 708-719, (1962)

[6]

Lindsay J., Aortocameral fistula: A rare complication of aortic dissection, Am Heart J, 126, pp. 441-443, (1993)

[7]

Topocuoglu M.S., Salih O.K., San M., Kayhan C., Ulus T., Aorto-Left Atrial Fistula with Bicuspid Aortic Valve and Coronary Artery Origin Anomaly, Ann Thorac Surg, 63, pp. 854-856, (1997)

[8]

Archer T.P., Mabee S.W., Baker P.B., Orsinelli D.A., Leier C.V., Aorto-Left Atrial fistula: A Reversible Cause of Acute Refractory Heart Failure, Chest, 111, pp. 828-831, (1997)

[9]

Caruso A., Iarussi D., Materazzi C., Dialetto G., Covino F., Bossone E., Cotrufo M., Aortic Dissection with Fistula to Left Atrium: Diagnosis by Transesophageal Echocardiography with Successful Repair, J Am Soc Echocardiogr, 13, pp. 69-72, (2000)

[10]

Ananthasubramaniam K., Karthikeyan V., Aortic ring abscess with Aorto-atrial fistula complicating Fulminant Prosthetic Valve Endocarditis due to Proteus mirabilis, J Ultrasound Med, 19, pp. 63-66, (2000)

← 1 2 →