Vol. 44 | No. 1 | January-June 2016 Back

Open Access

A Rat or ARAT? A Case of an Aorta-Right Atrial Tunnel in an Adult with Palpitations and a Continuous Murmur

Stephanie Martha O. Obillos, Sharon R. Pascua, Lauro L. Abrahan IV, Jaime  Alfonso M. Aherrera, Ariel D. Valones, Felimon K. Morales Jr., Lowe L. Chiong,  Jose Donato A. Magno, Celia Catherine Uy-Agbayani, Frederick Philip B. Gloria, Elmer Jasper B. Llanes, Raul D. Jara, Louis Mervyn B. Leones, Madelaine F. Amurao, Nadia L. Dorin, Dolores S. Bolos
Jun 2016 DOI 10.69944/pjc.30f8ab91e3

Abstract

The aorta-right atrial tunnel (ARAT) is an extracardiac vascular communication originating from  one of the sinuses of Valsalva and terminating in either the superior vena cava or the right atrium. We present a case of this rare phenomenon in a young female with palpitations and a continuous  murmur. This case report also presents how various imaging modalities were used to verify the  diagnosis.

References
  1. Coto EO, Caffarena JM, Such M, Marques JL. Aorta–right atrial  communication. Report of an unusual case. J Thorac Cardiovasc  Surg 1980;80:941–4. 
  2. Krishna CS, Baruah DK, Reddy GV, et al. Aorta-right atrial tunnel.  Tex Heart Inst J. 2010;37:480–2. 
  3. Gajjar T, Voleti C, Matta R, et al. Aorta–right atrial tunnel: Clinical  presentation, diagnostic criteria, and surgical options. J Thorac  Cardiovasc Surg. 2005;130:1287–92. 
  4. Türkay C, Gölba i I, Belgi A, et al. Aorta-right atrial tunnel. J Thorac  Cardiovasc Surg. 2003;125:1058–60. 
  5. Akar AR, irlak M, Eyileten Z, et a;. Aortico-cameral communication  from right sinus of valsalva to right atrium Sa valsalva sinusu He sa atriyum arasında aertico-kameral komünikasyon. Ankara Üniversitesi  Tıp Fakültesi Mecmuası. 2006;59:73–6. 
  6. Kalangos A, Beghetti M, Vala D, et al. Aorticoright atrial tunnel.  Ann Thorac Surg. 2000;69:635–7. 
  7. Kursaklioglu H, Iyisoy A, Celik T, et al. Aortico-right atrial tunnel  in an adult patient. Int J Cardiovasc Imag. 2005 Aug 1;21(4):383-5.
  8. Aggarwal SK, Sai V, Iyer VR. Imaging features of aorto right atrial  tunnel: a report of two cases. Congenit Heart Dis. 2007;2:429–32.
  9. De Winter RJ, Blom NA, Straver B, et al. Two cases of aorto-right  atrial tunnel: clinical presentation, imaging and percutaneous closure.  Neth Heart J. 2012;20:509–12. 
  10. Kim KN, Cho KI, Kim JJ, Kang JH, Goo JJ, Lee JY, Kim SM. A case  of aorta-right atrial tunnel presented with an asymptomatic murmur.  Korean Circ J. 2013;43:640–3. 
  11. Salehi A, Cui WW. Aorta-right atrial tunnel in an elderly patient.  Anesth Analg. 2013;117:1282–5. 
  12. Omeroglu SN, Goksedef D, Balkanay OO, Ipek G. Aorta-right  atrial tunnel in an adult. Eur J Cardiothorac Surg. 2014;45:580–1.
  13. Tossios P, Sarlis G, Aidonidis G, et al. Aorta-right atrial tunnel:  imaging and surgical repair in an adult patient. J Cardiothorac Vasc  Anesth. 2014 Oct;28:1314–8. 
  14. Iyisoy A, Celik T, Celik M, Sag C. Aorta-right atrial tunnel: An  interesting type of congenital coronary artery anomaly. Korean Circ  J. 2014;44:193–5. 
  15. Katayama Y, Ozawa T, Iga A, et al. Surgical repair of aorta-right atrial  tunnel in an adult. Circ J. 2015;79:892–3. 
  16. Yap-Roa J, Cabahug R. A breathtaking journey of finding the  unexpected aorta right atrial tunnel. Presented at: Philippine College  of Physicians Convention; 2013. Abstract available from: http://www. pcp.org.ph/files/Abstract/2013-2014/PS44_Case_Report_SPH_ Janice_Ma_Yap-Roa_The_Unexpected_Aorto-Right_atrial_Tunnel. pdf 
License

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, which permits use, share — copy and redistribute the material in any medium or format, adapt — remix, transform, and build upon the material, as long as you give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original. You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-sa/4.0/.