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Iatrogenic Fistula Between the Aorta and the Right Ventricular Outflow Tract After Melody Valve Implantation: Case Report and Literature Review

2020-09Journal article Open access
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dc.contributor.authorLoureiro, P
dc.contributor.authorMartins, JF
dc.contributor.authorFraisse, A
dc.contributor.authorRodrigues, R
dc.contributor.authorFragata, J
dc.contributor.authorPinto, MF
dc.date.accessioned2020-12-15T14:36:54Z
dc.date.available2020-12-15T14:36:54Z
dc.date.issued2020-09
dc.description.abstractWe 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRev Port Cardiol. 2020 Sep;39(9):545.e1-545.e4.pt_PT
dc.identifier.doi10.1016/j.repc.2018.09.016pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3531
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevier Españapt_PT
dc.subjectHSM CAR PEDpt_PT
dc.subjectHSM CCTpt_PT
dc.subjectPulmonary Valve Diseasept_PT
dc.subjectPercutaneous Interventionpt_PT
dc.subjectCongenital Heart Diseasept_PT
dc.subjectIatrogenic Fistulapt_PT
dc.subjectPercutaneous Pulmonary Valve Implantationpt_PT
dc.subjectTetralogy of Fallotpt_PT
dc.titleIatrogenic Fistula Between the Aorta and the Right Ventricular Outflow Tract After Melody Valve Implantation: Case Report and Literature Reviewpt_PT
dc.title.alternativeFístula Iatrogénica Entre a Aorta e a Câmara de Saída do Ventrículo Direito Após Implantação de Válvula Melody. Caso Clínico e Revisão da Literaturapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage545.e4pt_PT
oaire.citation.issue9pt_PT
oaire.citation.startPage545.e1pt_PT
oaire.citation.titleRevista Portuguesa de Cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiologypt_PT
oaire.citation.volume39pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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