Successful Surgical Treatment of Intramural Aortoatrial Fistula, Severe Aortic Regurgitation, Mitral Prolapse, and Tricuspid Insufficiency in a Patient with Ehlers-Danlos Syndrome Type IV

Authors

  • Shengli Jiang
  • Changqing Gao
  • Chonglei Ren
  • Tao Zhang

DOI:

https://doi.org/10.1532/HSF98.20111133

Abstract

Patients with Ehlers-Danlos syndrome (EDS) type IV, an inherited connective tissue disorder, are predisposed to vascular and digestive ruptures, and arterial ruptures account for the majority of deaths. A 31-year-old man with EDS presented with an intramural aortoatrial fistula, severe aortic regurgitation, mitral valve prolapse, and severe tricuspid valve insufficiency combined with a severely dilated left ventricle. Determining the best surgical option for the patient was not easy, especially regarding the course of action for the aortic root with a tear in the sinus of Valsalva. The fistula tract was closed at the aorta with suture and with a patch in the right atrium, the mitral valve was repaired with edge-to-edge suture and then annuloplasty with a Cosgrove ring, the aortic valve was replaced with a mechanical prosthesis, and a modified De Vega technique was used for the tricuspid valvuloplasty. The postoperative course was uncomplicated, and the patient was discharged 2 weeks later. The considerations made to arrive at the chosen surgical course of action in this complex case are reviewed.

References

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Published

2012-06-14

How to Cite

Jiang, S., Gao, C., Ren, C., & Zhang, T. (2012). Successful Surgical Treatment of Intramural Aortoatrial Fistula, Severe Aortic Regurgitation, Mitral Prolapse, and Tricuspid Insufficiency in a Patient with Ehlers-Danlos Syndrome Type IV. The Heart Surgery Forum, 15(3), E156-E157. https://doi.org/10.1532/HSF98.20111133

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