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Transcatheter Closure of Left Ventricle to Coronary Sinus Fistula Post-MVR and Septal Myectomy.

ABSTRACT: This paper describes the case of a patient who developed refractory heart failure due to a fistula from the left ventricle to the coronary sinus that was unintentionally created after a surgical myectomy and mitral valve replacement. Advanced image guidance with a pre-procedure 3-dimensional physical model and intraprocedure echocardiography fusion facilitated transcatheter plugging of the shunt with symptom resolution. (Level of Difficulty: Advanced.).

SUBMITTER: Bricker RS 

PROVIDER: S-EPMC8387808 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature

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Transcatheter Closure of Left Ventricle to Coronary Sinus Fistula Post-MVR and Septal Myectomy.

Bricker Rory S RS   Quaife Robert A RA   Chen Shiuh-Yung J SJ   Messenger John C JC   Hammers Jacob J   Carroll John D JD  

JACC. Case reports 20210819 10

This paper describes the case of a patient who developed refractory heart failure due to a fistula from the left ventricle to the coronary sinus that was unintentionally created after a surgical myectomy and mitral valve replacement. Advanced image guidance with a pre-procedure 3-dimensional physical model and intraprocedure echocardiography fusion facilitated transcatheter plugging of the shunt with symptom resolution. (<b>Level of Difficulty: Advanced.</b>). ...[more]

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