Successful reconstruction of aorto-left atrial fistula following aortic valve replacement and root enlargement by the Manouguian procedure.
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.
Hachida
M
M
Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College.
Koyanagi
H
H
Hanayama
N
N
Nonoyama
M
M
Nakano
K
K
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