Aorto‐Right Atrial Fistula Following Transseptal Catheterization and Catheter Ablation for Atrial Fibrillation

Iatrogenic Aorto‐Right Atrial Fistula. Aorto‐cameral fistula, either congenital or acquired, is an abnormal connection between the ascending aortic root and one of the cardiac chambers. We report a case of a 61‐year‐old male with history of atrial fibrillation and 2 radiofrequency ablation procedure...

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Published in:Journal of cardiovascular electrophysiology 2012-06, Vol.23 (6), p.659-661
Main Authors: ALIGETI, VENKATA R., SOUTH, HARRY L., HIRSH, JEFFREY B., WORTHAM, DALE C.
Format: Article
Language:English
Subjects:
Angiography, Digital Subtraction
Aortic Diseases - diagnosis
Aortic Diseases - etiology
Aortic Diseases - surgery
aorto‐right atrial fistula
atrial fibrillation
Atrial Fibrillation - surgery
Cardiac Catheterization - adverse effects
catheter ablation
Catheter Ablation - adverse effects
Echocardiography, Doppler, Color
Fistula - diagnosis
Fistula - etiology
Fistula - surgery
Heart Atria - surgery
Heart Diseases - diagnosis
Heart Diseases - etiology
Heart Diseases - surgery
Humans
Iatrogenic Disease
Male
Middle Aged
Reoperation
Tomography, X-Ray Computed
transseptal catheterization
Treatment Outcome
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Summary:Iatrogenic Aorto‐Right Atrial Fistula. Aorto‐cameral fistula, either congenital or acquired, is an abnormal connection between the ascending aortic root and one of the cardiac chambers. We report a case of a 61‐year‐old male with history of atrial fibrillation and 2 radiofrequency ablation procedures, referred to us for surgical Cox Maze procedure. Preoperative cardiac computerized tomography revealed a fistulous connection between the aortic root and the right atrium. Later, the patient underwent successful surgical closure of the fistula during the Cox Maze procedure. In this paper, we also discuss the clinical presentation, natural history, anatomy of the interatrial septum, and management of aorto‐cameral fistula. (J Cardiovasc Electrophysiol, Vol. 23, pp. 659–661, June 2012)
ISSN:1045-3873
1540-8167
DOI:10.1111/j.1540-8167.2011.02253.x