Mitral valve surgery in a patient with systemic artery-to-pulmonary artery fistulas.

Bito, Yasuyuki; Hattori, Koji; Kato, Yasuyuki; Motoki, Manabu; Shibata, Toshihiko · Ann Thorac Surg · 2012

case_report · Level V

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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.

Medical subject headings