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Related Experiment Videos

Cardiocutaneous fistula.

P G Danias1, T Lehman, T Kartis

  • 1Division of Cardiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA. pdanias@bidmc.harvard.edu

Heart (British Cardiac Society)
|February 23, 1999
PubMed
Summary
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Late-presenting cardiocutaneous fistula, a rare complication of left ventricular aneurysm repair, requires surgical removal of infected Teflon pledgets and the fistulous tract for eradication. Prompt diagnosis hinges on a high index of suspicion.

Area of Science:

  • Cardiovascular Surgery
  • Infectious Diseases
  • Medical Device Complications

Background:

  • Late-onset infection of Teflon pledgets used in heart suture lines after left ventricular aneurysm repair is uncommon.
  • Such infections can lead to serious complications like a cardiocutaneous fistula.

Observation:

  • A case report details a 73-year-old man who developed a cardiocutaneous fistula six years post-left ventricular aneurysmectomy.
  • The fistula extended through the left hemidiaphragm and drained onto the abdominal wall.

Findings:

  • Radiographic evaluation confirmed the diagnosis of a cardiocutaneous fistula.
  • Surgical excision of the infected Teflon pledgets and the fistulous tract was successfully performed.

Implications:

Related Experiment Videos

  • Early diagnosis of cardiocutaneous fistula is crucial and relies on a high index of clinical suspicion.
  • Complete eradication of infection necessitates individualized surgical planning for the removal of all infected materials.