References
  1. Jainandunsing JS, Linnemann R, Bouma W, Natour N, Bidar E, Lorusso R, Gelsomino S, Johnson DM. Aorto-atrial fistula formation and closure: a systematic review. Natour E.J Thorac Dis. 2019 Mar;11(3):1031-1046. doi: 10.21037/jtd.2019.01.77.
  2. Patra S, Mukhopadhyay S, Pande A, Chakraborty R, Chakrabarti N, Sarkar K. Pseudo-Cor Triatriatum Dextrum: A Rare Manifestation of Aorto-Right Atrial Fistula Successfully Closed by Amplatzer Vascular Plug. JACC Cardiovasc Interv. 2018 Apr 9;11(7):e51-e54. doi: 10.1016/j.jcin.2017.09.032. Epub 2018 Mar 14.
  3. Gajjar T, Voleti C, Matta R, Iyer R, Dash PK, Desai N.J. Aorta-right atrial tunnel: clinical presentation, diagnostic criteria, and surgical options. Thorac Cardiovasc Surg. 2005 Nov;130(5):1287-92. doi: 10.1016/j.jtcvs.2005.07.021.
FIGURE 1. (A) Transthoracic echocardiography (TTE) apical 4-chamber view shows aorto-right atrium shunt (arrow) and (B) parasternal short axis view shows shunt from the aortic noncoronary sinus valsalva to the right atrium
FIGURE 2. (A and B) Transesophageal echocardiography (TEE) and 3D TEE image of the fistula(arrow)
FIGURE 3. (A) Angiographic image of aortic-to-right atrial fistula (arrow), (B) Angiographic image of the device after release
FIGURE 4. (A and B) Transthoracic echocardiography(TTE) with no residual flow after percutaneous closure and 3D TTE view of the device
Video 1. Transesophageal echocardiography image of aortic-to-right atrial fistula
Video 2. Aortography image after device release