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CASE REPORT
Year : 2018  |  Volume : 28  |  Issue : 2  |  Page : 141-142

Congenital aorto-right ventricular fistula associated with pulmonary hypertension in an old female patient


1 Department of Cardiology, Santa Maria Hospital GVM Care and Research, Bari, Italy
2 Department of Medical and Surgical Science, University of Foggia, Foggia, Italy; Department of Cardiology, Asklepios Klinik - St. Georg, Hamburg, Germany, Italy
3 Department of Anesthesia and Intensive Care, Santa Maria Hospital GVM Care and Research, Bari, Italy
4 Department of Medical and Surgical Science, University of Foggia, Foggia, Italy

Correspondence Address:
Francesco Santoro
Department of Medical and Surgery Sciences, University of Foggia, Foggia; Department of Cardiology, Asklepios Klinik St. Georg, Hamburg
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcecho.jcecho_58_17

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We report a late clinical presentation of an aorto-right ventricular fistula (RVF) extending from the right sinus of Valsalva into the RV outflow tract with significant left-to-right shunt and severe pulmonary hypertension. A three-dimensional transesophageal echocardiogram and a chest-computed tomography scans were performed to better characterize the abnormality. Aorto- RVF can be either congenital or acquired, secondary to endocarditis, Valsalva aneurysm rupture, chest trauma, or aortic dissection.


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