Percutaneous closure of a para-prosthetic aorto-right ventricular fistula

Eng, Marvin H.; Garcia, Joel A.; Hansgen, Adam; Chan, Kak‐Chen; Carroll, John D.

doi:10.1016/j.ijcard.2006.12.004

Cited by 13 publications

(12 citation statements)

References 13 publications

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“…The mean interval between the time of injury and definitive repair was 1.5 years. Percutanous closure with septal occluders have been recently reported in patients who are poor surgical candidates [18].…”

Section: Discussionmentioning

confidence: 99%

Uncommon Findings Post Repair of Type A Aortic Dissection

2016

JCCR

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Aorto-right ventricular fistulas are defects of the aortic wall in the area above the right coronary cusp, where it separates the aorta from the right ventricular outflow tract. Often, these injuries are due to trauma, infective endocarditis, rupture sinus of valsalva or occussionally following Aortic valve replacement. We describe aorto right ventricular fistula in a patient 3 months following aortic valve replacement and type A aortic dissection repair.

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Section: Discussionmentioning

confidence: 99%

Uncommon Findings Post Repair of Type A Aortic Dissection

2016

JCCR

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“…Indeed, ARV fistula may follow either surgical aortic valve replacement [1,15] or percutaneous aortic valve implantation (TAVI) [16] . Several mechanisms may lead to cardiac shunts during aortic valve surgery including unintentional injury to the membranous septum sustained during dissection below the noncoronary cusps, perivalvular damage attributable to improper retraction and excessive and aggressive debridement of bulky areas of calcification from the aortic annulus [5][6][7][8][9][10][11][12][13][14][15][16][17] and/or pseudo-aneurysm formation secondary to degenerative changes at the aortotomy line and the pseudo-aneurysm's eventual rupture into the RV [1] . Lorenz et al proposed ischemic necrosis because of inappropriate suturing of the mechanical valve if the membranous portion of the ventricular septum is included in the prosthetic valve suture line [5] .…”

Section: Discussionmentioning

confidence: 99%

“…Owing to major advances in interventional cardiology in recent decades, effective closure of ARV fistula is now performed percutaneously by many devices with 3-dimensional guidance. We mention for instance PDA Rashkind occluder, the Amplatzer Duct Occluder, the Amplatzer ASD or PFO Occluder, the Sideris buttoned device, different types of coils and more recently, the Amplatzer Plug [17,26,27] .…”

Section: Discussionmentioning

confidence: 99%

Aorto-right ventricular fistula: An early complication of aortic valve replacement

Triki

Kahla

Hammami

et al. 2015

CRIM

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The implantation of prosthetic heart valves has been associated with several kinds of complications, but the description of aorto-right ventricle (ARV) fistula as a complication of aortic valve replacement is a very rare finding. We report herein the case of a 56-year-old woman sought care for palpitations two months after prosthetic aortic and mitral valve replacement. Cardiac examination revealed normally audible mechanical sounds with a new loud to-and-fro murmur with continuous precordial thrill. Thyroid function tests were poorly balanced (raised FT4 and lowered TSH). Electrocardiography at admission displayed rapid heart rhythm with atrial fibrillation. Trans-thoracic echocardiography (TTE) revealed left-to-right shunt due to aorto-RV fistula. We discuss then the aetiology, diagnosis and management of this rare para-valvular leakage.

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“…Although rare, blunt trauma to the chest, penetrating chest trauma, aortic dissection, high ventricular septal defect repair, 2) and aortic valve surgery [2][3][4][5] have been reported to result in aorto-RV fistula. The true incidence of aorto-RV fistula after aortic valve surgery is unknown.…”

Section: Discussionmentioning

confidence: 99%

“…Several mechanisms of injury causing cardiac shunts during aortic valve surgery have been proposed, including inadvertent injury to the membranous septum during dissection below the noncoronary cusps, perivalvular damage attributable to improper retraction and excessive debridement of calcium from the annulus, 2,4) and pseudoaneurysm formation secondary to degenerative changes at the aortotomy line and the pseudoaneurysm's eventual rupture into the RV. 1) Lorenz et al 2) proposed that another cause may be inclusion of the membranous portion of the ventricular septum in the prosthetic valve suture line, causing ischemic necrosis and eventual development of aorto-RV fistula.…”

Section: Discussionmentioning

confidence: 99%

Aorto–right Ventricular Fistula: A Complication of Aortic Valve Replacement

Najib¹,

Ng²,

Vinales³

et al. 2012

ATCS

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The occurrence of aorto-right ventricular (aorto-RV) fistula after prosthetic aortic valve replacement is rare. Transthoracic echocardiography (TTE) with color-flow Doppler, transesophageal echocardiography (TEE), or both may be required for diagnosis. A 42-yearold woman sought care for palpitations and dyspnea due to atrial flutter 2 weeks after prosthetic aortic valve replacement and graft replacement of the ascending aorta. TTE and TEE revealed left-to-right shunt due to aorto-RV fistula.

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Percutaneous closure of a para-prosthetic aorto-right ventricular fistula

Cited by 13 publications

References 13 publications

Uncommon Findings Post Repair of Type A Aortic Dissection

Uncommon Findings Post Repair of Type A Aortic Dissection

Aorto-right ventricular fistula: An early complication of aortic valve replacement

Aorto–right Ventricular Fistula: A Complication of Aortic Valve Replacement

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