INTRODUCTION
Aortic-to-right atrial fistula (ARAF) is a rare anomaly. It can be
congenital or acquired. Patients may present with dyspnea, chest pain,
palpitations, fatigue or cough as local symptoms, fatigue and edema as
systemic symptoms. Closure of symptomatic ARAF is recommended (1). It
can be closed surgically or percutaneously.