Congenital aorto-right ventricular fistula in a 31 year old female

Aorto-right ventricular fistula is a rare condition that communicates the ascending aorta to the right ventricle. This case describes a 31-year-old female attended at the outpatient clinic with a complain of dyspnea and edema in the lower limbs lasting about 2 months. Physical evaluation showed a holosystolic heart murmur on cardiac auscultation. Echocardiography and cardiac catheterization revealed a communication between the right coronary sinus to the right ventricular outflow tract. The patient underwent cardiac surgical treatment to correct the defect, in which fistula tissue was resected and the orifice was closed with bovine pericardium.