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J Am Soc Echocardiogr · Nov 2002
Case ReportsAortic dissection with aorto-left atrial fistula formation soon after aortic valve replacement: A lethal complication diagnosed by transthoracic and transesophageal echocardiography.
- Dimitrios Patsouras, Ourania Argyri, Stavros Siminilakis, Lambros Michalis, and Dimitrios Sideris.
- Department of Cardiology, University Hospital of Ioannina, Greece.
- J Am Soc Echocardiogr. 2002 Nov 1;15(11):1409-11.
AbstractFistulas between the aorta and left atrium are a rare manifestation of aortic dissection and are infrequently diagnosed premortem. We report the case of a 70-year-old man who exhibited this condition soon after aortic valve replacement and eventually died from rapidly developing refractory congestive heart failure. The diagnosis was indicated by transthoracic echocardiography and was ultimately made with transesophageal echocardiography and color flow Doppler imaging. Transesophageal echocardiography is the procedure of choice for establishing the correct diagnosis and leading to prompt surgical repair of this lethal condition.
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