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A 75-year-old patient with previous history of heart valve surgery was admitted due to recurrent congestive heart failure. In 1993 she underwent open-heart surgery where aortic valve was replaced with a mechanical prosthesis. In 2015, it was performed an ascending aortic aneurysm replacement with Dacron graft including the noncoronary sinus. During a congestive heart failure episode in 2017, an aorto-right atrial shunt was observed in transthoracic echocardiography. Patient was not considered for cardiac surgery because too high-risk.
After a new heart failure episode, patient was referred to our center to evaluate a possible percutaneous closure of the aortoatrial fistula. ...
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