1/32. pulmonary atresia, ventricular septal defect, and coronary-pulmonary artery fistula.We report 2 patients with pulmonary atresia, ventricular septal defect, and coronary-pulmonary fistula. The fistula originated from the left anterior descending artery in 1 patient, and from the right coronary artery in the other. Both patients survived staged correction in which right ventricular outflow was reconstructed with autologous fistula tissue. One patient with pulmonary hypertension suddenly died 9 months after surgery. Twenty-four patients with pulmonary atresia, ventricular septal defect, and coronary-pulmonary fistula have been reported previously.- - - - - - - - - - ranking = 1keywords = pulmonary atresia, atresia (Clic here for more details about this article) |
2/32. Allograft aortic root replacement for aortic valve endocarditis with aortopulmonary fistula.Acute infective endocarditis affecting the aortic root and valve associated with development of a fistulous communication between the aorta and pulmonary artery was presented in a young Turkish girl. Emergency surgery was required. Operation consisted initially of closure of the defect on the main pulmonary artery with a pericardial patch. This was followed by allograft aortic root replacement.- - - - - - - - - - ranking = 0.00220661599707keywords = valve (Clic here for more details about this article) |
3/32. Aneurysmal change in an internal mammary artery-pulmonary artery fistula.We treated a rare case of aneurysm of the internal mammary artery-pulmonary artery fistula in a 32-year-old woman with unrepaired pulmonary atresia and ventricular septal defect. This aneurysm communicated with the pulmonary artery system through an aortopulmonary collateral. Aneurysmectomy was successful.- - - - - - - - - - ranking = 0.47539673846486keywords = pulmonary atresia, atresia (Clic here for more details about this article) |
4/32. Pneumococcal aortic valve endocarditis causing aortopulmonary artery fistula.We report a case of an aortic-pulmonary artery fistula secondary to acute bacterial endocarditis and aortic root abscess formation. The patient presented with generalized symptoms and an initial pneumococcal pneumonia, then developed respiratory and cardiac failure necessitating ventilation and inotropic agents. An echocardiogram showed a vegetation in the aortic valve, an abscess involving the aortic root, and suggested a fistula between the aorta and main pulmonary artery, which was confirmed at emergent operation. Despite a complicated early postoperative course the patient has made a full recovery.- - - - - - - - - - ranking = 0.00220661599707keywords = valve (Clic here for more details about this article) |
5/32. Coronary artery fistulae from single coronary artery in a patient with rheumatic mitral stenosis.Here we report coronary artery fistulae (CAF) arising from a single coronary artery in a patient with rheumatic mitral stenosis. A 62-year-old woman underwent a coronary angiogram prior to mitral valve replacement (MVR). The left coronary artery angiogram showed the right coronary artery arising from the left anterior descending coronary artery. From the distal left circumflex artery, two CAF were seen draining into left atrium. The haemodynamically insignificant fistulae were left alone and patient underwent MVR. Such an association has not been reported so far.- - - - - - - - - - ranking = 0.00044132319941401keywords = valve (Clic here for more details about this article) |
6/32. Endovascular stent implantation in a coronary artery to pulmonary artery fistula in a patient with pulmonary atresia with ventricular septal defect and severe cyanosis.A 31-year-old male with pulmonary atresia, ventricular septal defect presented with exercise intolerance and severe cyanosis. A restrictive coronary-pulmonary artery fistula was identified as the main source of pulmonary blood flow. We report transcatheter stent implantation in the fistula to augment pulmonary flow as a palliative management option in the adult patient with complex congenital heart disease.- - - - - - - - - - ranking = 2.3769836923243keywords = pulmonary atresia, atresia (Clic here for more details about this article) |
7/32. Coil embolization therapy in congenital coronary arterial fistulas.Three pediatric patients (8.5 years, 3 years, and 1 month) presented with congenital coronary arterial fistulas. In all cases the fistulas entered into the right side of the heart (main pulmonary artery, n = 1; right ventricle, n = 2). In the first patient, the fistula and an open ductus arteriosus were closed during the same intervention. The second patient presented with a single left coronary ostium and residual shunt from the coronary artery system to the right ventricle after surgery. The third child had pulmonary atresia with intact ventricular septum and a fistula from the left coronary artery to the right ventricle. The fistulas in all patients were managed with coil occlusion. fistula occlusion was documented with angiocardiography.- - - - - - - - - - ranking = 0.47539673846486keywords = pulmonary atresia, atresia (Clic here for more details about this article) |
8/32. Ruptured pseudoaneurysm of aortic root graft into the pulmonary artery as a cause of severe heart failure.A 52-year-old man presented with heart failure of 1 month duration. He had undergone aortic valve and root replacement 30 months before admission. A continuous murmur was heard in the second intercostal space at the parasternal border. aortography showed a pseudoaneurysm surrounding the aorta, whereas color Doppler study revealed flow from the central aorta to the pseudoaneurysm and flow from the pseudoaneurysm to the pulmonary artery trunk through a fistulous communication between them. Thus, fistulous communication with pulmonary artery causing heart failure is a complication of pseudoaneurysm after aortic and root replacement, which can be diagnosed clinically and echocardiographically.- - - - - - - - - - ranking = 0.00044132319941401keywords = valve (Clic here for more details about this article) |
9/32. Left ventricle to pulmonary arterial fistula due to Behcet's disease.Surgical treatment of aortic regurgitation due to Behcet's disease is difficult. A 57-year-old male with Behcet's disease underwent aortic valve replacement with a mechanical valve for aortic regurgitation in 1995. Due to prosthetic valve detachment, 5 months thereafter he underwent a Bentall type operation with a composite graft. Due to complication of the left ventricle to pulmonary arterial fistula, 6 months later a third operation was performed for closure of the fistula. He is doing well at present 5 years after the third operation. Left ventricle to pulmonary arterial fistula is an exceedingly rare complication and has not been reported in the literature.- - - - - - - - - - ranking = 0.001323969598242keywords = valve (Clic here for more details about this article) |
10/32. Aortopulmonary fistula due to perforation of the aortic wall of a freestyle stentless valve.Aortopulmonary fistula occurring as a result of a rupture of the aortic wall of a stentless valve has not been previously reported. A 71-year-old woman suffered aortopulmonary fistula 15 months after replacement of the aortic root with a Freestyle stentless valve (Medtronic, Inc, Minneapolis, MN) and Dacron graft extension to replace the aortic valve and the ascending aorta to the aortic arch. We describe the successful repair of the fistula and simultaneous mitral valve replacement. The cause of deterioration of the aortic wall of the stentless valve, which gradually developed and ruptured, may have been primarily structural injury at the previous operation, with additional insult from the surgical adhesive used.- - - - - - - - - - ranking = 0.0039719087947261keywords = valve (Clic here for more details about this article) |
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