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Percutaneous closure of an Iatrogenic fistula from the left ventricle to the coronary sinus
Author(s) -
Gertz Zachary M.,
VelazquezCecena JoseLuis E.,
Nixon John. V. Ian
Publication year - 2015
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25579
Subject(s) - medicine , coronary sinus , fistula , percutaneous , ventricle , shunt (medical) , cardiology , mitral valve , surgery
A patient with a history of rheumatic mitral valve disease and valve replacement in childhood presented with severe, persistent dyspnea. During an electrophyisiologic procedure, she was discovered to have a fistula from the left ventricle to the coronary sinus. She had severe pulmonary hypertension and elevated filling pressures, with a significant left‐to‐right shunt. Percutaneous closure of the fistula was performed using two vascular plugs. Subsequently the patient's hemodynamics improved and her symptoms subsided. Here, we describe the case and review the literature. © 2014 Wiley Periodicals, Inc.