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Ann Thorac Surg 1991;52:852-854
© 1991 The Society of Thoracic Surgeons
Department of Surgery, Tri-Service General Hospital, Taipei, Republic of China
Accepted for publication February 4, 1991.
* Address reprint requests to Dr Wei, Department of Surgery, Tri-Service General Hospital, 622 Ting-Chow Road, Taipei, 10713, Taiwan, 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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