Aortic dissection with fistula to right atrium: Noninvasive diagnosis by two dimensional and Doppler echocardiography with successful repair. Case report and review of the literature

D. V. Hurley, R. A. Nishimura, H. V. Schaff, W. D. Edwards

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Aortic dissection with rupture into the right atrium is rare, and a high index of suspicion is required for its clinical recognition. The diagnosis should be considered in a patient with chest pain or dyspnea who at presentation has a widened pulse pressure, a continuous murmur, and evidence of right ventricular volume overload, especially when there is a history of a previous cardiac operation. Two-dimensional and Doppler echocardiography can establish the diagnosis and permit early surgical repair of the dissection and fistula.

Original languageEnglish (US)
Pages (from-to)953-957
Number of pages5
JournalJournal of Thoracic and Cardiovascular Surgery
Volume92
Issue number5
DOIs
StatePublished - 1986

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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