The morbidity and mortality of complicated endocarditis remains a serious problem. Left ventriculo-pulmonary artery fistula after culture-negative native aortic valve endocarditis is quite rare. A very rare case of left ventriculo-pulmonary artery fistula arising as a result of culture-negative native aortic valve endocarditis in a 70-year-old patient with no underlying medical history other than acute cholangitis has been reviewed in the light of literature.
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Left ventriculo-pulmonary artery fistula.
Indian J Thorac Cardiovasc Surg
January 2022
Department of Cardiovascular Surgery, Trakya University Medical Faculty, Edirne, Turkey.
The morbidity and mortality of complicated endocarditis remains a serious problem. Left ventriculo-pulmonary artery fistula after culture-negative native aortic valve endocarditis is quite rare. A very rare case of left ventriculo-pulmonary artery fistula arising as a result of culture-negative native aortic valve endocarditis in a 70-year-old patient with no underlying medical history other than acute cholangitis has been reviewed in the light of literature.
View Article and Find Full Text PDFPathological changes and myocardial remodelling related to the mode of shunting following surgical palliation for hypoplastic left heart syndrome.
Cardiol Young
August 2008
Pediatric and Congenital Cardiovascular Surgery Unit, University of Padua, Medical School, Padua, Italy.
Background: The modification of placing the shunt from the right ventricle to the pulmonary arteries, also known as Sano procedure, has allegedly improved results over the short term in surgical palliation of hypoplastic left heart syndrome with the Norwood procedure. With this in mind, we reviewed autopsied specimens from neonates and children who did not survive after either a classic arterio-pulmonary shunt, or the modified procedure with the shunt placed from the right ventricle to the pulmonary arteries, so as to evaluate the pathological substrates of the remodelling of the systemic right ventricle, assessing any differences induced by the 2 techniques.
Methods: We obtained the hearts from 11 patients with neonatal diagnosis of hypoplastic left heart syndrome who died after the first or second stages of the Norwood sequence of operations, comparing them with 6 normal hearts matched for age and weight.
Massive haemorrhage at resternotomy after stent implantation in ventriculo-pulmonary shunt after Norwood procedure.
Interact Cardiovasc Thorac Surg
June 2006
Department of Cardiothoracic Surgery, Erasmus MC, Dr Molewaterplein 40, 3015 GD Rotterdam, The Netherlands.
The ventriculo-pulmonary shunt in hypoplastic left heart syndrome has become an alternative to the arterio-pulmonary shunt. We present a patient with a severe stenosis in the ventriculo-pulmonary shunt at the proximal anastomosis, for which emergency balloon dilatation and stent implantation was performed. The location of the stent in the shunt, leaving only a thin compressed infundibular myocardium directly beneath the sternum, predisposed to massive haemorrhage at resternotomy for bidirectional Glenn procedure.
View Article and Find Full Text PDFChronic haemoptysis as delayed complication of ventricular aneurysmectomy.
Int J Cardiol
June 1999
Department of Cardiology, Glenfield Hospital, Leicester, UK.
Two patients developed a ventriculo-pulmonary fistula several years after original resection of a left ventricular aneurysm. Both presented with chronic mild haemoptysis. In the first case mild haemoptysis lasted nearly 19 months, and despite a battery of non invasive and invasive investigations, diagnosis was ultimately made via exploratory thoracotomy.
View Article and Find Full Text PDF[Double discordances with ventricular septal defect and pulmonary obstruction. A study of 72 cases].
Arch Mal Coeur Vaiss
May 1997
Service de cardiologie pédiatrique, hôpital Necker-Enfants-Malades, Paris.
Seventy-two patients with corrected transposition of the great arteries with ventricular septal defect and pulmonary obstruction were studied. Four deaths occurred in the neonatal period and two were lost to follow-up. The remaining 66 were divided into three groups: 1) Eight patients were not operated on because the lesions were well compensated; they are all alive and doing well eight years later.
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