RESUMEN
We report a 73-year-old male with late onset monomorphic ventricular tachycardia following mitral valve repair (MVR). Typically, injury to epicardial arteries following mitral valve repair/replacement presents immediately as ventricular tachycardia/fibrillation, difficulty weaning from cardiopulmonary bypass, worsening ECG changes, increasing cardiac biomarkers, or new wall motion abnormalities. Our case illustrates a "late complication" of a distorted circumflex artery following mitral valve repair and the importance of early diagnostic angiography and percutaneous intervention.
RESUMEN
Aorto-cameral fistula, either congenital or acquired, is an abnormal connection between the ascending aortic root and one of the cardiac chambers. We report a case of a 61-year-old male with history of atrial fibrillation and 2 radiofrequency ablation procedures, referred to us for surgical Cox Maze procedure. Preoperative cardiac computerized tomography revealed a fistulous connection between the aortic root and the right atrium. Later, the patient underwent successful surgical closure of the fistula during the Cox Maze procedure. In this paper, we also discuss the clinical presentation, natural history, anatomy of the interatrial septum, and management of aorto-cameral fistula.
Asunto(s)
Enfermedades de la Aorta/etiología , Fibrilación Atrial/cirugía , Cateterismo Cardíaco/efectos adversos , Ablación por Catéter/efectos adversos , Fístula/etiología , Cardiopatías/etiología , Enfermedad Iatrogénica , Angiografía de Substracción Digital , Enfermedades de la Aorta/diagnóstico , Enfermedades de la Aorta/cirugía , Ecocardiografía Doppler en Color , Fístula/diagnóstico , Fístula/cirugía , Atrios Cardíacos/cirugía , Cardiopatías/diagnóstico , Cardiopatías/cirugía , Humanos , Masculino , Persona de Mediana Edad , Reoperación , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
We report a 48-year-old male with a rare complication of pacemaker revision-fracture, migration, and secondary endocarditis due to a venous introducer sheath. We illustrate the possible mechanism of injury and discuss approaches to management.