Abstract
Aorta–right atrial tunnel is a rare entity characterized by a vascular fistula, which connects one of the sinuses of Valsalva in the ascending aorta and the right atrium. It is frequently associated with congestive heart failure. This abnormality is usually diagnosed by echocardiography or CT angiography. It requires immediate intervention due to high risk of complications as congestive heart failure. In this report, we present a case of a 33- year old female with no significant past medical history presents to the hospital with progressive shortness of breath found to have a congenital Aorta–right atrial tunnel.
Highlights
Aorta–right atrial tunnel is a vascular fistula which connects one of the sinuses of Valsalva in the ascending aorta and the right atrium
The clinical presentation usually includes symptoms of heart failure or on occasions, the patients is asymptomatic [2]. It is usually diagnosed by transthoracic or transesophageal echocardiography, computed tomographic angiography
Aorta–right atrial tunnel is a rare entity characterized by a vascular fistula, which connects one of the sinuses of Valsalva in the ascending aorta and the right atrium
Summary
Aorta–right atrial tunnel is a vascular fistula which connects one of the sinuses of Valsalva in the ascending aorta and the right atrium. It was first reported in 1980 [1]. The connection leads to shunting systemic circulation with right atrium. The clinical presentation usually includes symptoms of heart failure or on occasions, the patients is asymptomatic [2]. It is usually diagnosed by transthoracic or transesophageal echocardiography, computed tomographic angiography. Urgent reatment of this condition should be provided, giving high risk of complications. We present an interesting case of a 33-year old female with no significant past medical history presents to the hospital with progressive shortness of breath found to have a congenital Aorta–right atrial tunnel
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