{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:04:31Z","timestamp":1756425871797,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,6,27]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>This is a case of a man in his 60s with a history of previous aortic valve replacement, atrial fibrillation and non-ischaemic cardiomyopathy, who presents with a Stanford type A aortic dissection. The patient underwent emergent ascending aorta replacement. Intraoperatively, a large, dissected aneurysm was found. The false lumen, located between the aorta and PA, extended and perforated into the right ventricular outflow tract. The dissection originated from the previous surgical aortotomy line, with a component located at the right coronary ostium. Hence, the patient underwent successful ascending aortic replacement, patch repair of his aorto-cameral fistula and primary repair of the right coronary ostium.<\/jats:p>","DOI":"10.1136\/bcr-2025-266630","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T13:25:22Z","timestamp":1752153922000},"page":"e266630","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Ascending aortic dissection complicated by aortic right ventricular fistula"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3316-9829","authenticated-orcid":false,"given":"Ricky","family":"Patil","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, New York University Langone Health, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0118-1830","authenticated-orcid":false,"given":"Jacqueline Elise","family":"Woo","sequence":"additional","affiliation":[{"name":"Department of General Surgery, NYU Langone Health, Brooklyn, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7408-6076","authenticated-orcid":false,"given":"Alexander Hien","family":"Vu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, NYU Langone Health, Brooklyn, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikhail","family":"Vaynblat","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, New York University Langone Health, New York, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,7,10]]},"reference":[{"key":"2025082804442464000_18.7.e266630.1","unstructured":"Levy D , Sharma S , Grigorova Y , et al . Aortic dissection. In: Statpearls. Treasure Island (FL): StatPearls Publishing, 2025. Available: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441963\/"},{"key":"2025082804442464000_18.7.e266630.2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.7.897"},{"key":"2025082804442464000_18.7.e266630.3","doi-asserted-by":"crossref","DOI":"10.1093\/ejcts\/ezae039","article-title":"Mortality after non-surgically treated acute type A aortic dissection is higher than previously reported","volume":"65","author":"Teurneau-Hermansson","year":"2024","journal-title":"Eur J Cardiothorac Surg"},{"key":"2025082804442464000_18.7.e266630.4","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(93)91064-L"},{"key":"2025082804442464000_18.7.e266630.5","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1111\/jocs.12503","article-title":"Type A aortic dissection complicated by an aorto-right atrial fistula","volume":"30","author":"Sytnik","year":"2015","journal-title":"J Card Surg"},{"key":"2025082804442464000_18.7.e266630.6","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/j.athoracsur.2022.05.033","article-title":"Type A Aortic Dissection Repair in Patients With Prior Cardiac Surgery","volume":"115","author":"Bjurbom","year":"2023","journal-title":"Ann Thorac Surg"},{"key":"2025082804442464000_18.7.e266630.7","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.carpath.2008.08.002","article-title":"Acute aortic dissection complicated by fistula from aorta to right ventricle through ventricular septum","volume":"18","author":"Marek","year":"2009","journal-title":"Cardiovasc Pathol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-266630","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:44:33Z","timestamp":1756381473000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-266630"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":7,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,7,10]]},"published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1136\/bcr-2025-266630"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-266630","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,7]]}}}