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Iatrogenic left ventricular—right atrial fistula following mitral valve replacement
  1. Ricardo Seabra-Gomes,
  2. Donald N. Ross,
  3. Lorenzo Gonzalez-Lavin1
  1. Department of Surgery, Institute of Cardiology, and National Heart Hospital, London


    A case of an acquired left ventricular-right atrial fistula complicating Starr-Edwards replacement of a non-calcific mitral valve is reported. Emphasis is placed on the diagnostic methods and the anatomical relationship of the mitral valve to the atrioventricular septum. Surgical repair is advocated as soon as this complication of mitral valve replacement is discovered.

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    • 1 Correspondence to: Lorenzo Gonzalez-Lavin, M.D., Division of Thoracic Surgery, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, Michigan 48202, U.S.A.