Traumatic sinus of Valsalva fistula.
Two rare cases of nonpenetrating trauma-induced fistula from the right sinus of Valsalva to the right heart chambers are reported. Both were diagnosed preoperatively and operated on successfully. A transverse tear was found in the right sinus of Valsalva, just below the right coronary ostium, in both patients. The ragged inlet and a rough fistula tract were noted during operation. The tears were closed with direct sutures or with a Dacron patch. Coronary artery bypass grafting was needed in 1 patient. The results of operation were excellent.
Department of Surgery, Tri-Service General Hospital, Taipei, Republic of China.
J
J
Wei
C Y
CY
Chang
Y C
YC
Chang
D000328:Adult; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery; D006335:Heart Injuries / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000601:surgery; D013898:Thoracic Injuries / Q000150:complications*; D014949:Wounds, Nonpenetrating / Q000150:complications*