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European Heart Journal 1995 16(2):279-281;
Copyright © 1995 by the European Society of Cardiology.
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© 1995 The European Society of Cardiology

Aorto-atrial fistula following internal jugular vein catheterization

H. D. DANENBERG*,, Y. HASIN{dagger}, E. MILGALTER{ddagger}, D. GILON{dagger}, J. ZELINGER*, D. CASTAING§, D. AZOULAY§, C. PUTTERMAN*, H. BlSMUTH§, D. SAMUEL§ and D. SHOUVAL*

*Division of Medicine, Hadassah University Hospital Ein-Karem, Jerusalem, Israel
{dagger}Department of Cardiology, Hadassah University Hospital Ein-Karem, Jerusalem, Israel
{ddagger}Department of Cardiothoracic Surgery, Hadassah University Hospital Ein-Karem, Jerusalem, Israel
§Service de Chirurgie, Hopital Paul Brousse B. P. 200, 94804 Villeiuif Cedex, France

Received 10 March 1994; revised 30 June 1994; accepted 1 August 1994.

Correspondence: H. D Danenberg, Division of Medicine, Hadassah University Hospital, POB 12000, Jerusalem 91120, Israel.

Abstract

A 48-year-old women with giant haemangioma of the liver underwent percutaneous transjugular placement of a stent in the left hepatic vein for relief of an obstruction due to the compression of the benign liver tumour. Following the procedure, paroxysmal atrial fibrillation occurred and right-sided heart failure gradually appeared Echocardiography and cardiac catheterization demonstrated a fistula between the aortic root and the right atrium, that was confirmed on surgery.

Key Words: Central vein cannulation—complications • aorto-atrial fistula • giant hemangioma of liver


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