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The Annals of Thoracic Surgery, Vol 52, 852-854, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Traumatic sinus of Valsalva fistula

J Wei, CY Chang and YC Chang
Department of Surgery, Tri-Service General Hospital, Taipei, Republic of China.

Two rare cases of nonpenetrating trauma-induced fistula from the right sinus of Valsalva to the right heart chambers are reported. Both were diagnosed preoperatively and operated on successfully. A transverse tear was found in the right sinus of Valsalva, just below the right coronary ostium, in both patients. The ragged inlet and a rough fistula tract were noted during operation. The tears were closed with direct sutures or with a Dacron patch. Coronary artery bypass grafting was needed in 1 patient. The results of operation were excellent.




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Copyright © 1991 by The Society of Thoracic Surgeons.