Aorta-right atrial fistula after VSD operation.

We describe a late complication after ventricular septal defect surgical repair. Proximally, the fistula spread into the right atrium, resulting in an aorta-right atrium fistula. This is a previously unreported iatrogenic complication after a cardiac operation. An aorta-to-right atrial fistula developed within 14 years after closure of an atrial and ventricular septal defect. Previous ventricular septal defect operations should be remembered as a possible cause of aorta-right atrial fistula. Surgical correction was required.