title: Successful reconstruction of aorto-left atrial fistula following aortic valve replacement and root enlargement by the Manouguian procedure.
abstract: Successful reconstruction of the aortic annulus for perivalvular leak following combined valve replacement was performed in two patients, 6 and 7 years postoperatively, using Manouguian's operation. A fistula was seen at the junction of the aortic annulus and the superior or inferior margin of the patch used for enlargement. This fistula was closed from both sides; from the left atrium with reinforced Teflon pledgets and from the aorta using a patch. Successful reconstruction of the aortic annulus was made, and no regurgitation was seen after the operation.
authors.affiliation: Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College.
authors.forename: M
authors.initials: M
authors.lastname: Hachida
authors.forename: H
authors.initials: H
authors.lastname: Koyanagi
authors.forename: N
authors.initials: N
authors.lastname: Hanayama
authors.forename: M
authors.initials: M
authors.lastname: Nonoyama
authors.forename: K
authors.initials: K
authors.lastname: Nakano
mesh_terms: D001011:Aorta / Q000601:surgery*; D001018:Aortic Diseases / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D005260:Female; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D006325:Heart Atria / Q000601:surgery*; D006331:Heart Diseases / Q000209:etiology / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation