Pulmonary arteriovenous fistula coexisting with rheumatic mitral disease. Simultaneous successful correction under cardiopulmonary bypass in one case. Review of the literature.
The authors report a rare case of coexistence of a pulmonary arteriovenous fistula with rheumatic mitral disease. The diagnosis was suspected clinically and with the chest X-ray, and was confirmed by the cardiac catheterization showing mitral disease and a pulmonary arteriovenous fistula with arterial desaturation (70%). Successful surgery (aneurysmal excision and closure of abnormal communication together with mitral valve repair) was undergone under cardiopulmonary bypass. In the literature, 7 cases of this association have been reported, with surgery in 4. None of the cases had a procedure similar to the above-mentioned and simultaneous surgery was not recommended. The authors show that the anatomic situation of the case reported allowed simultaneous surgery, and that cardiopulmonary bypass rendered the procedure easy.
D001164:Arteriovenous Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006332:Cardiomegaly / Q000209:etiology; D002315:Cardiopulmonary Bypass; D002648:Child; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery*; D011379:Prognosis; D011651:Pulmonary Artery; D011667:Pulmonary Veins; D011859:Radiography