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Heart 1998;80:200-201 ( August )

Case report

Aorto-atrial fistula without aneurysm formation in Behçet's disease A Melua,a N Campbell,b D McCluskey,c S W MacGowana

a Department of Cardiac Surgery, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, UK, b Department of Cardiology, Royal Victoria Hospital, c Department of Pathology, Royal Victoria Hospital

Correspondence to: Mr MacGowan.

Accepted for publication 6 January 1998

Cardiac disease is known to occur in patients with the multisystemic inflammatory disorder Behçet's disease. An aorto-atrial fistula secondary to Behçet's disease without a sinus of Valsalva aneurysm has not been previously reported. A 30 year old man with a four year history of symptoms and signs consistent with Behçet's disease presented with an aorto-atrial fistula and a large left to right shunt. At operation the defect was repaired with a bovine pericardial patch. There was no evidence of aneurysm formation. The patient made a good recovery and was well at one year follow up.

Keywords: aorto-atrial fistula;  Behçet's disease.

© 1998 by Heart


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