Hybrid Transcatheter Approach to an Iatrogenic Left Ventricle–Coronary Sinus Fistula

Abstract

This clinical case describes a subacute presentation of decompensated heart failure secondary to an iatrogenic left ventricle–to–coronary sinus fistula after sequential mitral valve surgical procedures. Computed tomography was used to select an unconventional hybrid transapical access approach and facilitate successful closure using a vascular plug.

Keywords

• acquired
• imaging
• percutaneous
• plug
• shunt
• structural