title: Left ventricular to coronary sinus fistula following multiple mitral valve replacement surgeries.
abstract: Development of left ventricular to coronary sinus fistula is a rare complication of mitral valve surgery. Three of the seven previously reported cases occurred following multiple valve replacement surgeries, all of which were thought to be secondary to a complication of surgery and all were treated with surgical closure of the fistula. We report a case of left ventricular to coronary sinus fistula occurring after two mitral valve replacement surgeries that was treated medically with favorable long-term results.
authors.affiliation: Department of Medicine, J. Willis Hurst Internal Medicine Residency Program, Emory University School of Medicine, Atlanta, Georgia, USA. mackieb@gmail.com
authors.forename: Benjamin D
authors.initials: BD
authors.lastname: Mackie
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Clements
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Clements
mesh_terms: D000368:Aged; D000792:Angiography; D054326:Coronary Sinus; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006331:Heart Diseases / Q000209:etiology*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006352:Heart Ventricles; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D012086:Reoperation; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000209:etiology*