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Minimally Invasive Video‐Assisted Surgery for Iatrogenic Aortic Root‐to‐Right Atrium Fistula After Incomplete Percutaneous Occlusion of Patent Foramen Ovale: Case Report and Review of the Literature
Author(s) -
Raffa Giuseppe M.,
Pellegrini Carlo,
Lentini Salvatore,
Perrotta Sossio,
Tancredi Fabrizio,
Gaeta Roberto,
Viganò Mario
Publication year - 2008
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2007.00483.x
Subject(s) - medicine , patent foramen ovale , percutaneous , surgery , shunt (medical) , fistula , paradoxical embolism , occlusion
Background: The foramen ovale remains patent in about 25% of the population. Paradoxical embolism through a patent foramen ovale (PFO) may produce ischemic events. The closure of a PFO may prevent recurrence of cerebrovascular events. Percutaneous closure of a PFO is now‐a‐days a standard procedure and it appears to carry a low rate of complications. A surgical approach, in some cases, may be needed. Methods: A patient underwent percutaneous closure of PFO. There was a residual shunt after the procedure and a fistula between the aortic root‐to‐right atrium was subsequently discovered. Surgery was carried out using a “Port‐Access technique” through a right anterior minithoracotomy. Results: Postoperative course was uneventful. Complete obliteration of the fistula was achieved. Conclusion: Minimally invasive surgery may be effective to treat PFO or even complications after previous percutaneous attempts of closure. An aesthetically acceptable conclusion, especially in young female patients, and a very low rate of morbidity may be accomplished.