Left ventricle to pulmonary arterial fistula due to Behçet's disease.
Surgical treatment of aortic regurgitation due to Behçet's disease is difficult. A 57-year-old male with Behçet's disease underwent aortic valve replacement with a mechanical valve for aortic regurgitation in 1995. Due to prosthetic valve detachment, 5 months thereafter he underwent a Bentall type operation with a composite graft. Due to complication of the left ventricle to pulmonary arterial fistula, 6 months later a third operation was performed for closure of the fistula. He is doing well at present 5 years after the third operation. Left ventricle to pulmonary arterial fistula is an exceedingly rare complication and has not been reported in the literature.
Nakanishi
Koji
K
Department of Cardiovascular Surgery, Hiroshima City Hospital, Hiroshima, Japan.
Shichijo
Takeshi
T
Yunoki
Keiji
K
Kato
Gentaro
G
Nakai
Mikizo
M
Oba
Osamu
O
D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000209:etiology* / Q000601:surgery; D001159:Arterio-Arterial Fistula / Q000209:etiology* / Q000601:surgery; D001528:Behcet Syndrome / Q000150:complications*; D006341:Heart Rupture / Q000209:etiology* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D011666:Pulmonary Valve Stenosis / Q000209:etiology* / Q000601:surgery; D012086:Reoperation