Left ventricular-coronary sinus/right ventricular fistula late after mitral valve replacement
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Updated: Aug 25, 2026

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Published on: December 11, 2017
Luis Fernando López Almodóvar1, Juan José Rufilanchas, Fernando Enríquez
1Department of Cardiac Surgery, 12 de Octubre University Hospital, Madrid, Spain. lfla@telepolis.com
Insights
A rare intracardiac fistula, specifically a left ventricular-coronary sinus and right ventricular fistula, developed late after mitral valve replacement. This case highlights a unique complication following cardiac surgery.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Mitral valve replacement is a common cardiac procedure.
- Intracardiac fistulas are infrequent but serious complications post-surgery.
Observation:
- A patient developed a left ventricular-coronary sinus and right ventricular fistula.
- This complication occurred late after mitral valve replacement.
Findings:
- The study documents a rare case of a complex intracardiac shunt.
- This fistula involved the left ventricle, coronary sinus, and right ventricle.
Implications:
- Understanding rare complications like fistulas is crucial for surgical outcomes.
- Further investigation into the mechanisms and management of post-valve replacement fistulas is warranted.
Abstract:
Development of an intracardiac fistula is a rare complication after mitral valve replacement. In the literature we have found six cases of left ventricular-coronary sinus fistula and another one of left ventricular-coronary sinus and right atrial fistula. We report the history and course of a patient in whom a left ventricular-coronary sinus and right ventricular fistula developed late after mitral valve replacement. The current study examines this type of intracardiac shunt, and presents our report on a left ventricular-coronary sinus and right ventricular fistula complication.
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