Aorta-to-right ventricular fistula due to pectus bar migration |
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Authors: | Aydemir B Sokullu O Hastaoglu O Bilgen F Celik M Dogusoy I |
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Affiliation: | Department of Thoracic Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey. aydemirb@hotmail.com |
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Abstract: | A 23-year-old man, operated on for pectus excavatum with a modified Ravitch procedure, was admitted to our emergency department suffering from severe dyspnea. Massive pericardial effusion, rupture of the sinus of Valsalva, and aortic-to-right ventricular fistula were present on echocardiography. Cardiac penetration of the metal bar was detected on chest CT scan. The defect at the right sinus of Valsalva was closed with a PTFE patch, and the right aortic and ventricular ruptures were repaired primarily. |
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