[Left coronaro-ventricular fistula after septal myectomy].
The authors report the case of a 17 year old patient operated for valvular aortic stenosis associated with severe hypertrophy of the interventricular septum. The operation consisted of aortic valve replacement and septal myectomy. Color-flow imaging in the postoperative period showed a coronary artery--left ventricular fistula in the region of the septal myectomy. In view of the small size of the fistula on echocardiographic examination and the absence of a codified strategy of management of acquired coronary left ventricular fistula after surgery, a simple Doppler echocardiographic follow-up was proposed in this case.
Sarkis
A
A
Service de cardiologie, hôpital Saint-Joseph, Paris.
Lehnert
F
F
Diebold
B
B
Monin
J L
JL
Cosma
C
C
Castaldo
F
F
Pauly-Laubry
C
C
D000293:Adolescent; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D009202:Cardiomyopathies / Q000150:complications / Q000601:surgery*; D003327:Coronary Disease / Q000175:diagnosis / Q000209:etiology*; D015150:Echocardiography, Doppler; D005402:Fistula / Q000175:diagnosis / Q000209:etiology*; D006346:Heart Septum / Q000473:pathology / Q000601:surgery; D006352:Heart Ventricles; D006801:Humans; D006984:Hypertrophy; D008297:Male; D011183:Postoperative Complications
Fistule coronaro-ventriculaire gauche après myectomie septale.