Right sinus of Valsalva-right atrial fistula secondary to nonpenetrating chest trauma: a case report with description of noninvasive diagnostic features

A sinus of Valsalva-right atrial fistula secondary to nonpenetrating chest trauma is described. Echocardiogrpahy demonstrated diastolic fluttering of the anterior tricuspid valve, suggesting a left-to-right shunt at the level of the right atrium. External jugular venous pulse tracings revealed large...

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Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 1979-07, Vol.60 (1), p.205-209
Main Authors: DeSa'Neto, A, Padnick, M B, Desser, K B, Steinhoff, N G
Format: Article
Language:English
Subjects:
Adolescent
Aortic Rupture - complications
Aortic Rupture - diagnosis
Aortic Rupture - etiology
Aortography
Echocardiography
Fistula - diagnosis
Fistula - etiology
Fistula - surgery
Heart Atria
Heart Injuries - diagnosis
Heart Injuries - surgery
Hemodynamics
Humans
Male
Phonocardiography
Sinus of Valsalva - injuries
Sinus of Valsalva - surgery
Thoracic Injuries - complications
Thoracic Injuries - diagnosis
Thoracic Injuries - surgery
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - diagnosis
Wounds, Nonpenetrating - surgery
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Summary:A sinus of Valsalva-right atrial fistula secondary to nonpenetrating chest trauma is described. Echocardiogrpahy demonstrated diastolic fluttering of the anterior tricuspid valve, suggesting a left-to-right shunt at the level of the right atrium. External jugular venous pulse tracings revealed large alpha waves and attenuation of the y descent. Cardiac catheterization disclosed a fistulous communication between the right sinus of Valsalva and right atrium. After surgical repair of the fistula, the ultrasonic recording and external pulse tracing reverted to normal. We believe this is the first description of such a shunt after blunt thoracic trauma.
ISSN:0009-7322
1524-4539
DOI:10.1161/01.CIR.60.1.205