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Year : 2017  |  Volume : 27  |  Issue : 4  |  Page : 156-158

An unusual case of aortic-right atrium fistula: A diagnostic and therapeutic challenge

1 Department of Clinical-Experimental Medicine and Pharmacology, Division of Cardiology, University of Messina, Messina; Cardiology Department, Ospedale Civile di Ivrea, Ivrea, Italy
2 Cardiology Department, Ospedale Civile di Ivrea, Ivrea, Italy

Correspondence Address:
Maria Chiara Todaro
Via Consolare Valeria 1, Policlinico Universitario G. Martino, 98100 Messina

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcecho.jcecho_36_17

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An aorta-to-right atrium (RA) fistula is an anomalous communication between the ascending or descending thoracic aorta and the RA. In this report, we describe a case of an idiopathic aortic root-to-RA fistula occasionally found during a coronary angiography performed in a young patient admitted for acute chest pain with evidence of multivessel coronary artery disease. The anatomical peculiarity of this fistulous communication is that it gave origin to collateral vessels furnishing the inferolateral wall of the left ventricle. The case represented a diagnostic and therapeutic challenge that required a multimodality imaging and a multidisciplinary team approach.

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