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Aortic Dissection with Fistula to Right Atrium After Heart Transplantation: Diagnosis by Transthoracic and Transesophageal Echocardiography
Author(s) -
CARUSO AURELIO,
IARUSSI DIANA,
MATERAZZI CRESCENZO,
DIALETTO GIOVANNI,
COVINO FRANCO,
BOSSONE EDUARDO,
COTRUFO MAURIZIO
Publication year - 2000
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2000.tb01146.x
Subject(s) - medicine , aortic dissection , fistula , decompensation , cardiology , chest pain , transplantation , dissection (medical) , transesophageal echocardiogram , cardiac decompensation , heart transplantation , radiology , surgery , heart failure , aorta
Aortic dissection with rupture into the right atrium is an extremely rare and rapidly fatal condition that may occur after cardiac surgery. We report the case of a 59‐year‐old woman with a 6‐year history of heart transplantation who presented with subacute illness characterized by chest pain and severe cardiac decompensation accompanied by a continuous murmur in the precordium. The diagnosis of aortic dissection complicated by right atrial fistula was made by the combination of transthoracic and transesophageal echocardiographic examination.