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Aorto‐Right Atrial Fistula Following Transseptal Catheterization and Catheter Ablation for Atrial Fibrillation
Author(s) -
ALIGETI VENKATA R.,
SOUTH HARRY L.,
HIRSH JEFFREY B.,
WORTHAM DALE C.
Publication year - 2012
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/j.1540-8167.2011.02253.x
Subject(s) - medicine , atrial fibrillation , cardiology , catheter ablation , ablation , cardiac catheterization , catheter , surgery
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)