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Murphy JP, Weiland AP, Adams PR, et al. Management of traumatic sinus of valsalva-right ventricular fistulae. Tex Heart Inst J. 1986;13(2):217-22
Murphy, J. P., Weiland, A. P., Adams, P. R., & Walker, W. E. (1986). Management of traumatic sinus of valsalva-right ventricular fistulae. Texas Heart Institute journal, 13(2), 217-22.
Murphy, J P, et al. "Management of traumatic sinus of valsalva-right ventricular fistulae." Texas Heart Institute journal vol. 13,2 (1986): 217-22.
Murphy JP, Weiland AP, Adams PR, Walker WE. Management of traumatic sinus of valsalva-right ventricular fistulae. Tex Heart Inst J. 1986 Jun;13(2):217-22. PMID: 15227364; PMCID: PMC324629.
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Tex Heart Inst J. 1986 Jun;13(2):217-22.

Management of traumatic sinus of valsalva-right ventricular fistulae.

Texas Heart Institute journal

J P Murphy, A P Weiland, P R Adams, W E Walker

Affiliations

  1. University of Texas Health Science Center and Texas Heart Institute, Houston, Texas, USA.

PMID: 15227364 PMCID: PMC324629

Abstract

Residual intracardiac defects following penetrating injuries to the heart require thorough invasive evaluation and strong consideration for operative repair based upon the degree of hemodynamic compromise. Traumatic aortico-right ventricular fistulae result in high flow left-to-right shunts, and are associated with early onset of congestive failure. Operative repair requires utilization of total cardiopulmonary bypass, ventriculotomy and aortotomy to allow for thorough inspection of the ventricular septum, aortic valve cusps, and coronary ostia. Obliteration of both ends of the fistula (septal and sinus of Valsalva repair) minimizes the risk of recurrence.

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