Iatrogenic left ventricular-right atrial fistula following mitral valve replacement and tricuspid annuloplasty: diagnosis by transthoracic and transesophageal echocardiography.
Acquired left ventricle-to-right atrium communications are a known complication of valvular heart surgery. Previous reports have described the clinical features and diagnosis using cardiac catheterization. We report two cases of acquired left ventricle-to-right atrium fistula following mitral valve replacement. Particular emphasis is placed on the diagnosis using transthoracic and transesophageal echocardiography, obviating the need for cardiac catheterization before repair.
Benisty
J
J
Department of Cardiology and Cardiothoracic Surgery, Rabin Medical Center, Petah Tikvah, Israel.
Roller
M
M
Sahar
G
G
Paz
R
R
Vidne
B
B
Sagie
A
A
D000368:Aged; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D005402:Fistula / Q000000981:diagnostic imaging* / Q000209:etiology*; D006325:Heart Atria; D006331:Heart Diseases / Q000000981:diagnostic imaging* / Q000209:etiology*; D019918:Heart Valve Prosthesis Implantation; D006352:Heart Ventricles; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D008945:Mitral Valve Prolapse / Q000601:surgery; D011183:Postoperative Complications; D012086:Reoperation; D014261:Tricuspid Valve / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000601:surgery