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- W4328049260 abstract "Abstract Cardio-cutaneous fistula is a very rare complication of cardiac surgery, and the optimal management strategy is unclear. We present a case of a right ventricle-to-pulmonary artery conduit (RV–PA) forming a cutaneous fistulate that was successfully surgically repaired. A 43-year-old male presented for an elective RV–PA conduit replacement with a cutaneous skin lesion and associated sub-sternal collection. The patient underwent redo-sternotomy for the previous surgical replacement RV–PA conduit, of pulmonary atresia, ventricular septal defect, and ligation of main aorto-pulmonary collateral arteries in childhood, with the subsequent upgrade of the RV–PA conduit using pulmonary homograft. Upon entry into the thoracic cavity, it was clear that there was a direct fistula formed from the RV–PA conduit that was responsible for the skin lesion and hence a direct communication to the PA. We discuss the surgical method and surrounding discussions regarding Cardio-cutaneous fistula in a successful surgical repair when the pathology is difficult to truly identify preoperatively." @default.
- W4328049260 created "2023-03-22" @default.
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- W4328049260 date "2023-03-21" @default.
- W4328049260 modified "2023-09-27" @default.
- W4328049260 title "Cardio-cutaneous fistulae—beware the late sternal wound lesion" @default.
- W4328049260 doi "https://doi.org/10.1093/ejcts/ezad099" @default.
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