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The Annals of Thoracic Surgery, Vol 23, 378-388, Copyright © 1977 by The Society of Thoracic Surgeons
ER Norwicki, E Aberdeen, S Friedman and WJ Rashkind
A fistula from the left aortic sinus to the left ventricle is reported that
was successfully repaired using cardiopulmonary bypass. In addition, 175
cases of fistula to the heart from the aortic sinuses published in the
English literature from 1839 through 1972 were studied, with particular
emphasis on the 126 patients who underwent operative repair. The major
cause of the fistulas (76%) was found to be rupture of a congenital aortic
sinus aneurysm, usually during the third or fourth decade of life. The
remainder of these fistulas to the heart consisted of simply a tract in an
otherwise normal sinus. Ventricular septal defect was the most common
associated defect and, when present, was nearly always related to a fistula
arising from the right aortic sinus. Repair was successful in 86% of the
126 operated patients. The principles of operative treatment of these
fistulas are reviewed.
ARTICLES
Congenital left aortic sinus-left ventricle fistula and review of aortocardiac fistulas
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