PMID- 30628903
OWN - NLM
STAT- MEDLINE
DCOM- 20190305
LR  - 20190305
IS  - 1308-4488 (Electronic)
IS  - 1016-5169 (Linking)
VI  - 47
IP  - 1
DP  - 2019 Jan
TI  - Heart failure due to aorto-right atrial fistula and successful treatment with 
      percutaneous closure.
PG  - 60-62
LID - 10.5543/tkda.2018.88399 [doi]
AB  - Aorto-atrial fistula is a rare anomaly of the heart that may be the result of 
      congenital or acquired conditions, such as bacterial endocarditis, paravalvular 
      abscess, aortic dissection, or a complication of cardiac surgery. A 50-year-old 
      female patient presented at the clinic with the complaint of dyspnea and 
      abdominal distention due to ascites. On admission, her functional capacity was 
      New York Heart Association (NYHA) class III. A physical examination revealed a 
      systolic murmur, which was best audible in the right parasternal side, ascites, 
      and hepatomegaly. An aorto-right atrial fistula was detected using transthoracic 
      echocardiography and confirmed with transesophageal echocardiography and 
      aortography. The patient had a history of previous cardiac surgery, anticoagulant 
      use, and heart failure; therefore, percutaneous intervention was preferred to 
      surgery as a result of the high surgical risk. A successful closure of the 
      fistula was performed with an Amplatzer Duct Occluder II device. The patient 
      demonstrated a dramatic response to the treatment, resulting in a decrease in the 
      ascites and halving of her diuretic dose within 1 week. Her functional capacity 
      improved to NYHA class II, and right atrial pressure decreased to 8 mmHg after a 
      month.
FAU - Mammadli, Anar
AU  - Mammadli A
AD  - Department of Cardiology, Ankara University Faculty of Medicine, Ankara, Turkey. 
      drmammadli@yahoo.com.
FAU - Kilickap, Mustafa
AU  - Kilickap M
FAU - Dincer, Irem
AU  - Dincer I
FAU - Akbulut, Irem Muge
AU  - Akbulut IM
FAU - Sayin, Tamer
AU  - Sayin T
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Turkey
TA  - Turk Kardiyol Dern Ars
JT  - Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir
JID - 9426239
SB  - IM
MH  - Female
MH  - *Heart Atria/diagnostic imaging/physiopathology/surgery
MH  - *Heart Diseases/complications/diagnostic imaging/physiopathology/surgery
MH  - Heart Failure/*etiology
MH  - Humans
MH  - Middle Aged
MH  - Percutaneous Coronary Intervention
MH  - *Vascular Fistula/complications/diagnostic imaging/physiopathology/surgery
EDAT- 2019/01/11 06:00
MHDA- 2019/03/06 06:00
CRDT- 2019/01/11 06:00
PHST- 2019/01/11 06:00 [entrez]
PHST- 2019/01/11 06:00 [pubmed]
PHST- 2019/03/06 06:00 [medline]
AID - 10.5543/tkda.2018.88399 [doi]
PST - ppublish
SO  - Turk Kardiyol Dern Ars. 2019 Jan;47(1):60-62. doi: 10.5543/tkda.2018.88399.