title: Acquired left ventricular-right atrial communication following mitral valve replacement.
abstract: Although mitral valve replacement (MVR) is a routine procedure, it may still result in structural defects causing significant hemodynamic compromise. One very rare complication is the development of a left ventricular-right atrial fistula. The resultant intracardiac shunt is commonly associated with concomitant heart failure, and immediate surgical closure is required. The case is described of a left ventricular-right atrial fistula following MVR.
authors.affiliation: Department of Cardiac Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
authors.forename: Xiaoning
authors.initials: X
authors.lastname: Sun
authors.forename: Cheng
authors.initials: C
authors.lastname: Yang
authors.forename: Guanghua
authors.initials: G
authors.lastname: Zhou
authors.forename: Chunsheng
authors.initials: C
authors.lastname: Wang
mesh_terms: D017548:Echocardiography, Transesophageal; D005402:Fistula / Q000209:etiology*; D006325:Heart Atria; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006333:Heart Failure / Q000209:etiology; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D012086:Reoperation; D016896:Treatment Outcome