ArticleJACC. Case reports2026
Surgical Resolution of an Aorto-Atrial Tunnel: From Rare Anomaly to Full Recovery.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- SecondaryJournal of clinical medicine · 2026Article
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAorto-right atrial tunnel (ARAT) is an exceptionally rare congenital extracardiac communication between the aorta and right atrium, often presenting with symptoms of volume overload and heart failure. CASE SUMMARY: A 40-year-old woman with a known diagnosis of ARAT for 18 years presented with worsening palpitations and exertional dyspnea. Cardiac computed tomography revealed a tubular tract originating from the right coronary cusp and draining into the right atrium. Surgical repair under cardiopulmonary bypass was performed with closure of the aortic and atrial openings while preserving the right coronary artery. Postoperatively, she had a smooth recovery. DISCUSSION: This case highlights the diagnostic challenge of differentiating ARAT from coronary fistula or sinus of Valsalva rupture. Surgical resolution remains the definitive therapy. TAKE-HOME MESSAGE: Early identification and surgical management of ARAT prevent long-term complications and lead to complete symptom resolution.
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