Aorta-to-right ventricular fistula due to pectus bar migration.
A 23-year-old man, operated on for pectus excavatum with a modified Ravitch procedure, was admitted to our emergency department suffering from severe dyspnea. Massive pericardial effusion, rupture of the sinus of Valsalva, and aortic-to-right ventricular fistula were present on echocardiography. Cardiac penetration of the metal bar was detected on chest CT scan. The defect at the right sinus of Valsalva was closed with a PTFE patch, and the right aortic and ventricular ruptures were repaired primarily.
Department of Thoracic Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey. aydemirb@hotmail.com
B
B
Aydemir
O
O
Sokullu
O
O
Hastaoglu
F
F
Bilgen
M
M
Celik
I
I
Dogusoy
D000328:Adult; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001019:Aortic Rupture; D020878:Device Removal; D004868:Equipment Failure; D005548:Foreign-Body Migration / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005660:Funnel Chest / Q000601:surgery; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000209:etiology; D011859:Radiography; D012850:Sinus of Valsalva; D013232:Steel / Q000009:adverse effects; D056346:Sternotomy / Q000009:adverse effects; D016896:Treatment Outcome; D014463:Ultrasonography; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery
D013232:Steel