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Ann Thorac Surg 2000;70:663-665
© 2000 The Society of Thoracic Surgeons

Case report

Retrocardiac arteriovenous malformation causing recurrent cerebral ischemia

Thomas Busch, MDa, Ivan Aleksic, MDa, Friederike Schulze, MDb, Horia Sirbu, MDa, Harald Dalichau, MD, PhDa

a Departments of Thoracic and Cardiovascular Surgery Georg-August-University, Göttingen, Germany
b Department ofCardiology, Georg-August-University, Göttingen, Germany

Address reprint requests to Dr Busch, Department of Thoracic and Cardiovascular Surgery, Georg-August-Universität Göttingen, Robert-Koch-Str 40, 37075 Göttingen, Germany
e-mail: tbusch{at}gwdg.de

A 28-year-old woman had been suffering from recurrent cerebral embolizations for almost 9 years. A retrocardiac arteriovenous malformation was identified as the source of emboli. It was supplied by chest wall veins and the right upper pulmonary vein, connected to the back wall of the left atrium and a possibly aberrant hepatic vein originating from the abdomen. The aneurysm was resected and all supplying veins ligated. The vein from below the diaphragm was implanted into the right atrium. Her postoperative course was uncomplicated. Long-term follow-up free from cerebrovascular events.






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