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Eur J Cardiothorac Surg 2000;17:617-619
© 2000 Elsevier Science NL

Case report

Aorto-atrial fistula after operated type A dissection

^a Department of Cardiothoracic Surgery, Papworth Hospital, Papworth Everard, Cambridgeshire CB3 8RE England, UK
^b Department of Cardiology, Norfolk and Norwich Hospital, Norwich NR1 3SR England, UK
^c Department of Radiology, Papworth Hospital, Papworth Everard, Cambridgeshire CB3 8RE England, UK

Corresponding author. Tel.: +44-1480-830541; fax: +44-1480-830342

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.

Key Words: aortic dissection, aortic fistula, cardiopulmonary bypass, cardiac surgery