[Percutaneous transcatheter closure of an aorta to left atrium fistula with an Amplatzer septal occluder in a patient with a mitral bioprosthesis].
We describe the case of a patient with a mitral bioprosthetic valve undergoing percutaneous closure with fluoroscopy and echocardiographic guidance of a rare left sinus of Valsalva‒left atrial fistula. The original aspect of this case is that the fistula was located at the level of the left sinus of Valsalva next to the mitral valve bioprosthesis with subsequent risk of prosthesis damage and/or occlusion of the left coronary artery at its origin during the procedure.
Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena.
Stefano
S
Casini
Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena.
Massimo
M
Fineschi
Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena.
Matteo
M
Cameli
Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena.
Alessia
A
Geyer
Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena.
Giulia Elena
GE
Mandoli
Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena.
Stefano
S
Lunghetti
Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena.
Sergio
S
Mondillo
Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena.
Carlo
C
Pierli
D000369:Aged, 80 and over; D001011:Aorta / Q000000981:diagnostic imaging; D001027:Aortography / Q000379:methods; D001705:Bioprosthesis; D006328:Cardiac Catheterization / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods; D006325:Heart Atria / Q000000981:diagnostic imaging; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery; D055989:Septal Occluder Device; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy