The Surgical Treatment for Aorto-cutaneous Fistula after Open Heart Surgery: A case report.
- Author:
Mijung KIM
1
;
Byung Yul KIM
;
Yong Chul SHIN
;
Woo Shik KIM
;
Seong Cheol JEONG
;
Chang Min SONG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, National Medical Center, Korea. bylkim@kebi.com
- Publication Type:Case Report
- Keywords:
Complication;
Aorta, ascending;
Sternotomy;
Mediastinitis;
Fistula
- MeSH:
Aorta;
Fistula;
Follow-Up Studies;
Heart;
Hemorrhage;
Humans;
Mediastinitis;
Sternotomy;
Thoracic Surgery;
Wound Infection
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2008;41(4):516-519
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aorto-cutaneous fistula is a rare complication after performing open heart surgery, but if this develops, it is a fatal condition. So, prompt diagnosis and aggressive surgical treatment is needed. We report here on a patient who had two mechanical double valves placed during heart surgery and she was treated for repeated sternal wound infections for about 5 years. She visited the ER due to abrupt bleeding at the sternal wound. She was diagnosed as having an aorto-cutaneous fistula by performing an aortogram and we then performed cardio-pulmonary bypass surgery. The patient is currently doing well and is under follow up 24 months after the repair.