The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Percutaneous closure of aorto-right atrial fistula after ascending aortic aneurysm surgery using cardiac fusion imaging

EuroIntervention 2019, just accepted article published in May 2019. DOI: 10.4244/EIJ-D-19-00198

1. University Hospital of Salamanca, Institute of Biomedical Research in Salamanca (IBSAL), Faculty of Medicine, University of Salamanca, CIBERCV, Salamanca, Spain, 2. University Hospital of Salamanca, Instituto of Biomedical Research in Salamanca (IBSAL), Faculty of Medicine, University of Salamanca, CIBERCV, Salamanca, Spain, SPAIN, 3. University Hospital of Salamanca, Institute of Biomedical Research in Salamanca (IBSAL), Faculty of Medicine, University of Salamanca, CIBERCV, Salamanca, Spain, 4. University Hospital of Salamanca, Institute of Biomedical Research in Salamanca (IBSAL), Faculty of Medicine, University of Salamanca, CIBERCV, Salamanca, Spain
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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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