Iatrogenic Fistula Between the Aorta and the Right Ventricular Outflow Tract After Melody Valve Implantation: Case Report and Literature Review
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/3531 |
Resumo: | We present the first case of an iatrogenic aorta to right ventricular outflow tract fistula after Melody valve implantation. A 11-year-old girl, born with tetralogy of Fallot with absent pulmonary valve, underwent surgical repair at three years old with a 15-mm homograft. At five years old, calcification and stenosis of the homograft prompted successful balloon angioplasty and five years later she underwent Melody valve implantation. During follow-up, she began to suffer fatigue on moderate exertion. Echocardiography, cardiac catheterization and computed tomography were performed and showed a significant fistula between the right coronary ostium and the right ventricular outflow tract proximal to the implanted valve. The patient underwent surgical repair and in long-term follow-up there is no evidence of the fistula. Iatrogenic fistula between the ascending aorta and the right ventricular outflow tract after percutaneous pulmonary valve implantation is an uncommon complication, and may grow over time. A high level of suspicion is required for this rare complication and a final aortography may be necessary for the diagnosis. |
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Iatrogenic Fistula Between the Aorta and the Right Ventricular Outflow Tract After Melody Valve Implantation: Case Report and Literature ReviewFístula Iatrogénica Entre a Aorta e a Câmara de Saída do Ventrículo Direito Após Implantação de Válvula Melody. Caso Clínico e Revisão da LiteraturaHSM CAR PEDHSM CCTPulmonary Valve DiseasePercutaneous InterventionCongenital Heart DiseaseIatrogenic FistulaPercutaneous Pulmonary Valve ImplantationTetralogy of FallotWe present the first case of an iatrogenic aorta to right ventricular outflow tract fistula after Melody valve implantation. A 11-year-old girl, born with tetralogy of Fallot with absent pulmonary valve, underwent surgical repair at three years old with a 15-mm homograft. At five years old, calcification and stenosis of the homograft prompted successful balloon angioplasty and five years later she underwent Melody valve implantation. During follow-up, she began to suffer fatigue on moderate exertion. Echocardiography, cardiac catheterization and computed tomography were performed and showed a significant fistula between the right coronary ostium and the right ventricular outflow tract proximal to the implanted valve. The patient underwent surgical repair and in long-term follow-up there is no evidence of the fistula. Iatrogenic fistula between the ascending aorta and the right ventricular outflow tract after percutaneous pulmonary valve implantation is an uncommon complication, and may grow over time. A high level of suspicion is required for this rare complication and a final aortography may be necessary for the diagnosis.Elsevier EspañaRepositório do Centro Hospitalar Universitário de Lisboa Central, EPELoureiro, PMartins, JFFraisse, ARodrigues, RFragata, JPinto, MF2020-12-15T14:36:54Z2020-092020-09-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/3531engRev Port Cardiol. 2020 Sep;39(9):545.e1-545.e4.10.1016/j.repc.2018.09.016info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:43:27Zoai:repositorio.chlc.min-saude.pt:10400.17/3531Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:20:50.530717Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Iatrogenic Fistula Between the Aorta and the Right Ventricular Outflow Tract After Melody Valve Implantation: Case Report and Literature Review Fístula Iatrogénica Entre a Aorta e a Câmara de Saída do Ventrículo Direito Após Implantação de Válvula Melody. Caso Clínico e Revisão da Literatura |
title |
Iatrogenic Fistula Between the Aorta and the Right Ventricular Outflow Tract After Melody Valve Implantation: Case Report and Literature Review |
spellingShingle |
Iatrogenic Fistula Between the Aorta and the Right Ventricular Outflow Tract After Melody Valve Implantation: Case Report and Literature Review Loureiro, P HSM CAR PED HSM CCT Pulmonary Valve Disease Percutaneous Intervention Congenital Heart Disease Iatrogenic Fistula Percutaneous Pulmonary Valve Implantation Tetralogy of Fallot |
title_short |
Iatrogenic Fistula Between the Aorta and the Right Ventricular Outflow Tract After Melody Valve Implantation: Case Report and Literature Review |
title_full |
Iatrogenic Fistula Between the Aorta and the Right Ventricular Outflow Tract After Melody Valve Implantation: Case Report and Literature Review |
title_fullStr |
Iatrogenic Fistula Between the Aorta and the Right Ventricular Outflow Tract After Melody Valve Implantation: Case Report and Literature Review |
title_full_unstemmed |
Iatrogenic Fistula Between the Aorta and the Right Ventricular Outflow Tract After Melody Valve Implantation: Case Report and Literature Review |
title_sort |
Iatrogenic Fistula Between the Aorta and the Right Ventricular Outflow Tract After Melody Valve Implantation: Case Report and Literature Review |
author |
Loureiro, P |
author_facet |
Loureiro, P Martins, JF Fraisse, A Rodrigues, R Fragata, J Pinto, MF |
author_role |
author |
author2 |
Martins, JF Fraisse, A Rodrigues, R Fragata, J Pinto, MF |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Loureiro, P Martins, JF Fraisse, A Rodrigues, R Fragata, J Pinto, MF |
dc.subject.por.fl_str_mv |
HSM CAR PED HSM CCT Pulmonary Valve Disease Percutaneous Intervention Congenital Heart Disease Iatrogenic Fistula Percutaneous Pulmonary Valve Implantation Tetralogy of Fallot |
topic |
HSM CAR PED HSM CCT Pulmonary Valve Disease Percutaneous Intervention Congenital Heart Disease Iatrogenic Fistula Percutaneous Pulmonary Valve Implantation Tetralogy of Fallot |
description |
We present the first case of an iatrogenic aorta to right ventricular outflow tract fistula after Melody valve implantation. A 11-year-old girl, born with tetralogy of Fallot with absent pulmonary valve, underwent surgical repair at three years old with a 15-mm homograft. At five years old, calcification and stenosis of the homograft prompted successful balloon angioplasty and five years later she underwent Melody valve implantation. During follow-up, she began to suffer fatigue on moderate exertion. Echocardiography, cardiac catheterization and computed tomography were performed and showed a significant fistula between the right coronary ostium and the right ventricular outflow tract proximal to the implanted valve. The patient underwent surgical repair and in long-term follow-up there is no evidence of the fistula. Iatrogenic fistula between the ascending aorta and the right ventricular outflow tract after percutaneous pulmonary valve implantation is an uncommon complication, and may grow over time. A high level of suspicion is required for this rare complication and a final aortography may be necessary for the diagnosis. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-15T14:36:54Z 2020-09 2020-09-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/3531 |
url |
http://hdl.handle.net/10400.17/3531 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Rev Port Cardiol. 2020 Sep;39(9):545.e1-545.e4. 10.1016/j.repc.2018.09.016 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier España |
publisher.none.fl_str_mv |
Elsevier España |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131304765161472 |