It is reported that the patient suffered accidental puncture of the aortic root by a brockenbrough needle and advancement of an 8 french mullins sheath during a mitral valve repair procedure.The patient remained haemodynamically stable, with no evidence of a pericardial collection on tte and the procedure was abandoned.The patient was managed conservatively and made an uneventful recovery and was discharged home after three days of observation.At follow-up it was noted that a significant aorta-to right atrium fistula had developed at the site of the previous aortic puncture.A duct occluder was implanted to treat the fistula.The patient made an uneventful recovery and was discharged after three days.6 month follow up confirmed no residual fistula.
|