title: Left ventricular-coronary sinus fistula after mitral valve replacement: diagnosis by transthoracic and transesophageal echocardiography.
abstract: Repeated mitral valve replacement, particularly in case of heavily calcified mitral annulus, may lead to iatrogenic injury to the posterior atrioventricular groove leading to hematoma, myocardial rupture and/or intracardiac shunt. In this report, the echocardiographic features of left ventricular to coronary sinus fistula developed after repeated mitral valve replacement, are described for the first time. Transthoracic and transesophageal echocardiography allow the early detection of this extremely rare form of iatrogenic injury.
authors.affiliation: Istituto di Chirurgia del Cuore e dei Grossi Vasi, Università degli Studi La Sapienza, Roma.
authors.forename: P
authors.initials: P
authors.lastname: Voci
authors.forename: L
authors.initials: L
authors.lastname: Fiorani
authors.forename: B
authors.initials: B
authors.lastname: Marino
mesh_terms: D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D017548:Echocardiography, Transesophageal; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging*; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D006352:Heart Ventricles / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D013909:Thorax