Format

Send to

Choose Destination
Tex Heart Inst J. 1986 Jun;13(2):217-22.

Management of traumatic sinus of valsalva-right ventricular fistulae.

Author information

1
University of Texas Health Science Center and Texas Heart Institute, Houston, Texas, USA.

Abstract

Residual intracardiac defects following penetrating injuries to the heart require thorough invasive evaluation and strong consideration for operative repair based upon the degree of hemodynamic compromise. Traumatic aortico-right ventricular fistulae result in high flow left-to-right shunts, and are associated with early onset of congestive failure. Operative repair requires utilization of total cardiopulmonary bypass, ventriculotomy and aortotomy to allow for thorough inspection of the ventricular septum, aortic valve cusps, and coronary ostia. Obliteration of both ends of the fistula (septal and sinus of Valsalva repair) minimizes the risk of recurrence.

PMID:
15227364
PMCID:
PMC324629

Supplemental Content

Full text links

Icon for PubMed Central
Loading ...
Support Center