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Updated: Jun 5, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Acquired left ventricular-right atrial communication following mitral valve replacement
Xiaoning Sun1, Cheng Yang, Guanghua Zhou
1Department of Cardiac Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Abstract:
Although mitral valve replacement (MVR) is a routine procedure, it may still result in structural defects causing significant hemodynamic compromise. One very rare complication is the development of a left ventricular-right atrial fistula. The resultant intracardiac shunt is commonly associated with concomitant heart failure, and immediate surgical closure is required. The case is described of a left ventricular-right atrial fistula following MVR.
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