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, Hartzell V Schaff, W. D. Edwards

Research output: Contribution to journalArticle

23 Citations (Scopus)

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
StatePublished - 1986

Fingerprint

Doppler Echocardiography
Heart Atria
Fistula
Dissection
Chest Pain
Dyspnea
Rupture
Blood Pressure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

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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.",
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