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CASE REPORT article
Front. Cardiovasc. Med.
Sec. Structural Interventional Cardiology
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1526798
This article is part of the Research Topic Case Reports in Structural Interventional Cardiology: 2024 View all 4 articles
Interventional closure of artificial vascular anastomotic fistula after aortic replacement: a case report
Provisionally accepted- 1 Henan University, Kaifeng, China
- 2 郑州市, 郑州市, China
- 3 阜外华中心血管病医院, 刘煜昊, 郑州市, China
Two years ago, the patient suffered from type A aortic dissection. As a result, partial aortic dissection artificial vascular replacement and partial aortic arch artificial vascular replacement were performed. Six months after the operation, an anastomotic fistula in the ascending aorta was detected, which subsequently progressed to chronic heart failure of New York Heart Association (NYHA grade) class Ⅲ. After eliminating the operationrelated contraindications, the patient successfully had the fistula occluded through transcatheter ascending aorta -right atrial fistula in our hospital. After the operation, no abnormal shunt was found, and the short -term treatment effect was satisfactory. Keywords：Aortic dissection; Anastomotic fistula; Interventional occlusion therapy; Clinical data：The patient is a 61-year-old female who was admitted to the Structural Heart Disease Department of Fuwai Central China Cardiovascular Hospital on June 27, 2024 due to "chest tightness and shortness of breath after activity for more than 1 year." She had a 20-year history of hypertension and her blood pressure was controlled between 130-145/75-95 mmHg with oral medications. Two years ago (in April 2022), due to type A aortic dissection, she underwent "partial resection of the ascending aorta with artificial vascular replacement and partial replacement of the aortic arch with artificial vascular" in our hospital emergently (Figure 1). A 28/8 -mm Terumo single -branch artificial blood vessel was selected and wrapped with a pericardial patch. Meanwhile, aortic root wrapping and internal atrial drainage were carried out. Postoperative transesophageal echocardiography showed no aortic valve regurgitation, smooth blood flow in the artificial vessel, and no anastomotic leakage.
Keywords: aortic dissection, Anastomotic fistula, Interventional occlusion therapy, Structure, case report
Received: 12 Nov 2024; Accepted: 12 Feb 2025.
Copyright: © 2025 Hou, 侯, Wang, Zhao, Chen and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
青旺 侯, 郑州市, 郑州市, China
Xiaohu Wang, 郑州市, 郑州市, China
Yipin Zhao, 郑州市, 郑州市, China
Chong Chen, 郑州市, 郑州市, China
Yuhao Liu, 阜外华中心血管病医院, 刘煜昊, 郑州市, China
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