Aortic dissection with a fistulous communication into the right atrium: a case report.
 A case of aortic dissection (type 1, De Bakey) with a rent into the right atrium (RA), diagnosed by echocardiography (echo) and confirmed by aortography, is reported.
 The patient presented with cardiac failure and a continuous murmur in the right second and third intercostal spaces.
 The patient has survived for two years with medial treatment.
