Open AccessCongenital aorto-right ventricular fistula associated with pulmonary hypertension in an old female patient
Author(s) -
Daniele De Viti,
Francesco Santoro,
Pasquale Raimondo,
Natale Daniele Brunetti,
Cataldo Memmola
Publication year - 2018
Publication title -
journal of cardiovascular echography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 8
eISSN - 2347-193X
pISSN - 2211-4122
DOI - 10.4103/jcecho.jcecho_58_17
Subject(s) - medicine , ventricular outflow tract , transesophageal echocardiogram , shunt (medical) , aortic dissection , pulmonary hypertension , fistula , cardiology , presentation (obstetrics) , aneurysm , radiology , sinus (botany) , endocarditis , exertional dyspnea , surgery , aorta , botany , biology , genus
We report a late clinical presentation of an aorto-right ventricular fistula (RVF) extending from the right sinus of Valsalva into the RV outflow tract with significant left-to-right shunt and severe pulmonary hypertension. A three-dimensional transesophageal echocardiogram and a chest-computed tomography scans were performed to better characterize the abnormality. Aorto- RVF can be either congenital or acquired, secondary to endocarditis, Valsalva aneurysm rupture, chest trauma, or aortic dissection.