[Percutaneous transcatheter closure of an aorta to left atrium fistula with an Amplatzer septal occluder in a patient with a mitral bioprosthesis]

Stefano Casini; Massimo Fineschi; Matteo Cameli; Alessia Geyer; Giulia Elena Mandoli; Stefano Lunghetti; Sergio Mondillo; Carlo Pierli

doi:10.1714/2252.24272

[Percutaneous transcatheter closure of an aorta to left atrium fistula with an Amplatzer septal occluder in a patient with a mitral bioprosthesis]

G Ital Cardiol (Rome). 2016 May;17(5):391-2. doi: 10.1714/2252.24272.

[Article in Italian]

Authors

Stefano Casini¹, Massimo Fineschi¹, Matteo Cameli¹, Alessia Geyer¹, Giulia Elena Mandoli¹, Stefano Lunghetti¹, Sergio Mondillo¹, Carlo Pierli¹

Affiliation

¹ Dipartimento di Malattie Cardiovascolari, Università degli Studi, Siena.

PMID: 27310914
DOI: 10.1714/2252.24272

Abstract

We describe the case of a patient with a mitral bioprosthetic valve undergoing percutaneous closure with fluoroscopy and echocardiographic guidance of a rare left sinus of Valsalva‒left atrial fistula. The original aspect of this case is that the fistula was located at the level of the left sinus of Valsalva next to the mitral valve bioprosthesis with subsequent risk of prosthesis damage and/or occlusion of the left coronary artery at its origin during the procedure.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Aorta / diagnostic imaging
Aortography / methods
Bioprosthesis*
Cardiac Catheterization* / methods
Echocardiography, Transesophageal / methods
Heart Atria* / diagnostic imaging
Heart Valve Prosthesis*
Humans
Male
Mitral Valve* / surgery
Septal Occluder Device*
Sinus of Valsalva* / diagnostic imaging
Treatment Outcome
Ultrasonography, Interventional / methods
Vascular Fistula* / diagnostic imaging
Vascular Fistula* / etiology
Vascular Fistula* / therapy