Archives of the Turkish Society of Cardiology
Heart failure due to Aorto-Right atrial fistula and successful treatment with percutaneous closure [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. Ahead of Print: TKDA-88399 | DOI: 10.5543/tkda.2018.88399

Heart failure due to Aorto-Right atrial fistula and successful treatment with percutaneous closure

Anar Mammadli, Mustafa Kılıçkap, İrem Dinçer, İrem Müge Akbulut, Tamer Sayın
Department of Cardiology, Ankara University Medical Faculty, Ankara

Aorto-atrial fistula (AAF) is a rare anomaly of heart result from congenital and acquired conditions such as bacterial endocarditis, paravalvular abscess, aortic dissection, and complication of cardiac surgery. A 50-year-old female patient was admitted to our clinic with complaint of dyspnea and abdominal distention due to ascites. On admission, her functional capacity was NYHA class 3. On her physical examination, we detected a systolic murmur, which was best audible in the right parasternal side, ascites, and hepatomegaly. We detected aorto-right atrial fistula by transthoracic echocardiography and confirmed by transesophageal echocardiography and aortography. The patient had history of previous cardiac surgery, anticoagulant use and heart failure, so we preferred percutaneous intervention to surgery because of high surgical risk. We performed successful closure of fistula with Amplatzer Duct Occluder II device. The patient demonstrated a dramatic response to the treatment resulting in a decrease in her ascites and halving of her diuretic dose within one week. Her functional capacity improved to NYHA class 2 and right atrial pressure decreased to 8mmHg after a month.

Keywords: Aorto-atrial fistula, Percutaneous closure, Heart failure

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Corresponding Author: Anar Mammadli, Türkiye
© Copyright 2018 Archives of the Turkish Society of Cardiology
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