Aorto – Left atrial fistula after mitral valve replacement

Aorto--left atrial fistula.

A Chinese man, aged 55 years, was admitted to hospital in January 1964, complaining of increasing shortness of breath on exertion, of about two months' duration. He had had some retrosternal chest discomfort but this was never severe, though it increased in severity following exertion. His face was noted to be swollen in the mornings and this swelling decreased towards the end of the day. In th...

Left Atrial Wall Dissection after Mitral Valve Replacement

Left atrial dissection does occur, though rarely, after mitral valve surgery. A 68-year-old Korean female presented with moderate mitral stenosis, mild mitral regurgitation, moderate tricuspid regurgitation and mild aortic regurgitation. She was scheduled for mitral valve replacement and tricuspid annuloplasty. We experienced a left atrial dissection after weaning from cardiopulmonary bypass an...

Right sided heart evaluation after successful mitral valve replacement.

Introduction: It is well-documented that right-sided heart dysfunction and significant tricuspid valve regurgitation (TVR) have adverse effects on patient outcomes after left-sided heart valve surgery. Therefore, the evaluation of right ventriclular (RV) function and TR severity in patients who had undergone mitral valve replacement (MVR), associated with/without concomitant su...

Mitral valve ring dehiscence with an aorta-left atrial fistula.

In an era with the increasing use of various imaging modalities including echocardiography, ventriculography and cardiac magnetic resonance (CMR) imaging, one must be aware of the limitations of each discipline. We report a case of an individual who presented with both a partial dehiscence of a mitral valve annuloplasty ring and an aorta-left atrium fistula following surgical management of infe...

Endocarditis of the mitral valve with left ventricular atrial fistula.