Unusual Complication of Aortic Root Reconstruction with Sparing of the Aortic Valve: Left Ventricular Outflow Tract to Right Atrial Fistula Academic Article uri icon


MeSH Major

  • Aorta
  • Fistula
  • Heart Atria
  • Heart Ventricles
  • Reconstructive Surgical Procedures


  • The technique of aortic root reconstruction with sparing of the native aortic valve has been adopted in patients with dilatation or dissection of the aortic root and normal, functional aortic valve leaflets. We report two patients who developed an unusual complication of this surgical procedure: a left ventricular outflow tract to right atrial fistula. The clinical presentation of these patients, the steps leading to the diagnosis of the fistula, and the mechanism of fistula development are outlined. Specific emphasis is placed on echocardiographic diagnosis and differential diagnosis of a left ventricular outflow tract to right atrial fistula.

publication date

  • April 2006



  • Academic Article



  • eng

Digital Object Identifier (DOI)

  • 10.1016/j.echo.2005.12.010

PubMed ID

  • 16581492

Additional Document Info

start page

  • 469.e5

end page

  • 9


  • 19


  • 4