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Ann Thorac Surg 2004;77:1441-1443
© 2004 The Society of Thoracic Surgeons

Case report

Left ventricular–coronary sinus/right ventricular fistula late after mitral valve replacement

Luis Fernando López Almodóvar, MDa*, Juan José Rufilanchas, MDa, Fernando Enríquez, MDa, Luis Maroto, MDa, Enrique Pérez de la Sota, MDa, José Cortina, MDa

a Department of Cardiac Surgery, 12 de Octubre University Hospital, Madrid, Spain

Accepted for publication May 29, 2003.

* Address reprint requests to Dr López Almodóvar, Department of Cardiac Surgery, 12 de Octubre University Hospital, Avda de Córdoba s, n, 28041 Madrid, Spain.
e-mail: lfla{at}telepolis.com

Development of an intracardiac fistula is a rare complication after mitral valve replacement. In the literature we have found six cases of left ventricular–coronary sinus fistula and another one of left ventricular–coronary sinus and right atrial fistula. We report the history and course of a patient in whom a left ventricular–coronary sinus and right ventricular fistula developed late after mitral valve replacement. The current study examines this type of intracardiac shunt, and presents our report on a left ventricular–coronary sinus and right ventricular fistula complication.






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