title: Mitral valve surgery in a patient with systemic artery-to-pulmonary artery fistulas.
abstract: We report the case of a 68-year-old woman with severe mitral valve regurgitation and concomitant multiple systemic artery-to-pulmonary artery fistulas. Endovascular embolization of the fistulas was unable to control her heart failure, and mitral valve replacement was also performed. Steps were taken during mitral valve surgery to ensure an adequate operative field in the left atrium, despite the large volume of in-pouring blood from the pulmonary vein.
authors.affiliation: Department of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan. ybito@med.osaka-cu.ac.jp
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Bito
authors.forename: Koji
authors.initials: K
authors.lastname: Hattori
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Kato
authors.forename: Manabu
authors.initials: M
authors.lastname: Motoki
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Shibata
mesh_terms: D000368:Aged; D000792:Angiography; D001159:Arterio-Arterial Fistula / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D004452:Echocardiography; D004621:Embolization, Therapeutic / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*