Fs. Joyce et al., LEFT-VENTRICULAR TO RIGHT ATRIAL FISTULA AFTER AORTIC HOMOGRAFT REPLACEMENT FOR ENDOCARDITIS, European journal of cardio-thoracic surgery, 8(2), 1994, pp. 100-102
The treatment is described of a patient who had severe bacterial endoc
arditis with aortic valve destruction and septal abscess complicated b
y left ventricular to right atrial fistula 3 months after aortic homog
raft root replacement and septal debridement and repair. ne status of
the aortic homograft and anatomy of the fistula were defined precisely
by echocardiography, making successful repair through a right atrioto
my possible without disturbing the aortic homograft and the implanted
coronary arteries.