Open AccessSurgical Repair of a Giant Aorto–Left Ventricular Fistula
Author(s) -
Charles Mve Mvondo,
Marta Pugliese,
Ellen Marie Dailor
Publication year - 2019
Publication title -
texas heart institute journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.373
H-Index - 53
eISSN - 1526-6702
pISSN - 0730-2347
DOI - 10.14503/thij-17-6332
Subject(s) - medicine , fistula , interventricular septum , ventricle , surgery , coronary sinus , presentation (obstetrics) , heart failure , aorta , sinus (botany) , cardiology , botany , biology , genus
Aortoventricular fistula, a rare congenital or acquired defect of the aortic wall, is characterized by an abnormal connection between the aorta and one of the ventricles. Symptom severity correlates with the diameter of the fistula and with the acute or chronic timing of presentation. The diagnosis is usually made by using echocardiography, and surgical treatment is necessary to avoid progression to heart failure. We describe the case of a 27-year-old woman who underwent successful surgical repair of an aortoventricular fistula that originated from the right coronary sinus and extended into the left ventricle through the interventricular septum. In addition to the patient's case, we briefly discuss this unusual condition