Left ventricular-coronary sinus fistula after mitral valve replacement
1Division of Cardiothoracic Surgery, University of Iowa Hospitals and Clinics, Iowa City 52240.
The Journal of Thoracic and Cardiovascular Surgery
|October 1, 1987
Summary
A rare complication, left ventricular-coronary sinus fistula, can develop years after mitral valve replacement. This case highlights a late-onset fistula in a patient with a single prior valve replacement.
Area of Science:
- Cardiovascular Surgery
- Cardiac Surgery
- Medical Complications
Background:
- Mitral valve replacement is a common cardiac procedure.
- Rare complications can arise post-surgery.
- Left ventricular-coronary sinus fistula is an exceptionally rare complication.
Observation:
- A patient developed a fistula 8 years after a single mitral valve replacement.
- A murmur was detected 3 months post-operation.
- Previous reported cases involved multiple valve replacements.
Findings:
- This case represents a late development of a left ventricular-coronary sinus fistula.
- The fistula occurred in a patient with a history of only one previous mitral valve replacement.
- The presence of a murmur post-operation may indicate fistula development.
Implications:
- This finding expands the understanding of potential complications following mitral valve replacement.
- It suggests that even single valve replacements can lead to rare fistulas.
- Early detection of murmurs post-mitral valve replacement is crucial for identifying rare complications.
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