{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T12:01:54Z","timestamp":1759147314948,"version":"3.37.3"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2019,12,24]],"date-time":"2019-12-24T00:00:00Z","timestamp":1577145600000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background\u2003<\/jats:title>\n                  <jats:p>Creation of an iatrogenic aorto-right atrial fistula is a rare but clinically relevant complication of cardiac surgery. Transfemoral percutaneous closure is an attractive alternative to surgical repair, but there are no reports about transcatheter repair using a complete arm access.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary\u2003<\/jats:title>\n                  <jats:p>We present the case of a 44-year-old woman with heart failure (NewYork Heart Association Class III) due to a longstanding iatrogenic fistula from the non-coronary aortic cusp to the right atrium (RA) with aorta to RA shunting and severe tricuspid regurgitation (TR) caused by mitral valve replacement 15\u2009years ago. The patient was successfully treated by percutaneous closure with an Amplatzer Vascular Plug II using complete brachial access. Following the procedure right heart chambers and TR decreased and symptoms resolved.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion\u2003<\/jats:title>\n                  <jats:p>To the best of our knowledge this is the first report of percutaneous repair of an aorto-right atrial fistula using total arm accesses (radial artery and basilic vein). In appropriately selected patients, this approach is an attractive alternative to femoral access.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytz231","type":"journal-article","created":{"date-parts":[[2019,12,24]],"date-time":"2019-12-24T00:27:39Z","timestamp":1577147259000},"page":"1-5","source":"Crossref","is-referenced-by-count":1,"title":["Percutaneous closure of an iatrogenic aorto-right atrial fistula of the sinus of Valsalva through total arm approach: a case report"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7209-6975","authenticated-orcid":false,"given":"Nitin","family":"Sood","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, CaritasKlinikum, Saarbruecken, Academic Teaching Hospital of the Saarland University Faculty of Medicine, Rheinstrasse 2, 66113 Saarbruecken, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3308-7929","authenticated-orcid":false,"given":"Peter","family":"Ehrlich","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, CaritasKlinikum, Saarbruecken, Academic Teaching Hospital of the Saarland University Faculty of Medicine, Rheinstrasse 2, 66113 Saarbruecken, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorothee","family":"Meerbach","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, CaritasKlinikum, Saarbruecken, Academic Teaching Hospital of the Saarland University Faculty of Medicine, Rheinstrasse 2, 66113 Saarbruecken, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3532-8052","authenticated-orcid":false,"given":"Michael","family":"Kindermann","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology, CaritasKlinikum, Saarbruecken, Academic Teaching Hospital of the Saarland University Faculty of Medicine, Rheinstrasse 2, 66113 Saarbruecken, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,12,23]]},"reference":[{"key":"2020022804012902200_ytz231-B1","first-page":"60","article-title":"Heart failure due to aorto-right atrial fistula and successful treatment with percutaneous closure","volume":"47","author":"Mammadli","year":"2019","journal-title":"Turk Kardiyol Dern Ars"},{"key":"2020022804012902200_ytz231-B2","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1136\/hrt.71.5.479","article-title":"Transcatheter closure of a ruptured aneurysm of the sinus of Valsalva","volume":"71","author":"Cullen","year":"1994","journal-title":"Br Heart J"},{"key":"2020022804012902200_ytz231-B3","doi-asserted-by":"crossref","first-page":"2197","DOI":"10.1253\/circj.CJ-14-0106","article-title":"Long-term outcomes of transcatheter closure of ruptured sinus Valsalva aneurysms using patent ductus arteriosus occluders","volume":"78","author":"Fang","year":"2014","journal-title":"Circ J"},{"key":"2020022804012902200_ytz231-B4","doi-asserted-by":"crossref","first-page":"2881","DOI":"10.1093\/eurheartj\/ehq323","article-title":"Transcatheter closure of ruptured sinus of Valsalva aneurysm using the Amplatzer duct occlude: immediate results and mid-term follow-up","volume":"31","author":"Kerkar","year":"2010","journal-title":"Eur Heart J"},{"key":"2020022804012902200_ytz231-B5","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1002\/ccd.25323","article-title":"Clinical efficacy and safety of transcatheter closure of ruptured sinus Valsalva aneurysm","volume":"84","author":"Zhong","year":"2014","journal-title":"Catheter Cardiovasc Interv"},{"key":"2020022804012902200_ytz231-B6","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1093\/eurheartj\/ehv320","article-title":"2015 ESC guidelines for the management of acute coronary syndroms in patients without ST-segment elevation: task force for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC)","volume":"37","author":"Roffi","year":"2016","journal-title":"Eur Heart J"}],"container-title":["European Heart Journal - 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