Mitral Valve Surgery in a Patient With Systemic Artery-to-Pulmonary Artery Fistulas

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...

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Veröffentlicht in:The Annals of thoracic surgery 2012-10, Vol.94 (4), p.1348-1349
Hauptverfasser: Bito, Yasuyuki, MD, PhD, Hattori, Koji, MD, PhD, Kato, Yasuyuki, MD, PhD, Motoki, Manabu, MD, Shibata, Toshihiko, MD, PhD
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container_end_page 1349
container_issue 4
container_start_page 1348
container_title The Annals of thoracic surgery
container_volume 94
creator Bito, Yasuyuki, MD, PhD
Hattori, Koji, MD, PhD
Kato, Yasuyuki, MD, PhD
Motoki, Manabu, MD
Shibata, Toshihiko, MD, PhD
description 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.
doi_str_mv 10.1016/j.athoracsur.2012.02.022
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subjects Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Angiography
Arterio-Arterial Fistula - complications
Arterio-Arterial Fistula - diagnosis
Arterio-Arterial Fistula - therapy
Biological and medical sciences
Cardiology. Vascular system
Cardiothoracic Surgery
Echocardiography
Embolization, Therapeutic - methods
Endovascular Procedures - methods
Female
Follow-Up Studies
Heart Valve Prosthesis Implantation - methods
Humans
Medical sciences
Mitral Valve - surgery
Mitral Valve Insufficiency - complications
Mitral Valve Insufficiency - diagnosis
Mitral Valve Insufficiency - surgery
Pneumology
Surgery
title Mitral Valve Surgery in a Patient With Systemic Artery-to-Pulmonary Artery Fistulas
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