Iatrogenic aorto‐sinus of Valsalva fistula: Angiographic and cine computerized tomography delineation

Alan M. Blaker, Eduardo De Marchena, Patricia Hansen, Alan Schob, Warren Janowitz, Simon Chakko, Kenneth M. Kessler

Research output: Contribution to journalArticle

Abstract

A patient is reported who underwent cardiac catheterization 4 years following coronary artery bypass grafting. Cardiac catheterization revealed the presence of a fistulous tract in the wall of the ascending aorta, originating at the site of aortic anastomosis of a saphenous vein bypass graft and ending in the superior aspect of the right sinus of Valsalva. This complication was felt to have resulted from a inadvertent localized dissection of the aorta during bypass surgery. The fistula was also imaged by ultrafast cine computerized tomography which proved a useful non-invasive method for follow-up examination.

Original languageEnglish (US)
Pages (from-to)186-189
Number of pages4
JournalCatheterization and Cardiovascular Diagnosis
Volume19
Issue number3
DOIs
StatePublished - Mar 1990

Keywords

  • bypass
  • complication
  • dissection

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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