ウネ　ダイ   Dai Une   畝　大    所属   川崎医科大学  医学部 臨床医学　心臓血管外科学    職種   教授
論文種別	症例報告
言語種別	日本語
査読の有無	査読あり
表題	[Aortic dissection after aortic valve replacement with an aorto-left atrial fistula; report of a case].
掲載誌名	正式名：Kyobu geka. The Japanese journal of thoracic surgery 略　 称：Kyobu Geka ISSNコード：00215252/00215252
掲載区分	国内
巻・号・頁	62(7),587-9頁
著者・共著者	H Kanamitsu, H Minami, H Yoshitaka, M Kuinose, Y Tsushima, A Ishida, D Une
発行年月	2009/07
概要	Aortocameral fistula is a rare complication of aortic dissection. We herein report a case of aortic dissection after aortic valve replacement (AVR) complicated with a fistula to the left atrium. A 76-year-old man who had undergone AVR 1 year previously, was admitted to our hospital because of facial edema and chest discomfort. On auscultation, a continuous murmur was heard at the left lower sternal border. Computed tomography revealed dissecting aneurysm of the ascending aorta and a fistula to the left atrium was suspected. Transesophageal echocardiography showed the fistula between the false lumen of the aneurysm and the left atrium. Ascending aorta replacement and closure of the fistula was performed. There was dense adhesion between the aortic root and the roof of the left atrium. It seems that postoperative adhesion plays an important role in formation of aortocameral fistula.
PMID	19588832