{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:51:06Z","timestamp":1753876266720,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T00:00:00Z","timestamp":1679356800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>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\u2013PA) forming a cutaneous fistulate that was successfully surgically repaired. A 43-year-old male presented for an elective RV\u2013PA conduit replacement with a cutaneous skin lesion and associated sub-sternal collection. The patient underwent redo-sternotomy for the previous surgical replacement RV\u2013PA conduit, of pulmonary atresia, ventricular septal defect, and ligation of main aorto-pulmonary collateral arteries in childhood, with the subsequent upgrade of the RV\u2013PA conduit using pulmonary homograft. Upon entry into the thoracic cavity, it was clear that there was a direct fistula formed from the RV\u2013PA 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.<\/jats:p>","DOI":"10.1093\/ejcts\/ezad099","type":"journal-article","created":{"date-parts":[[2023,3,17]],"date-time":"2023-03-17T00:23:31Z","timestamp":1679012611000},"source":"Crossref","is-referenced-by-count":0,"title":["Cardio-cutaneous fistulae\u2014beware the late sternal wound lesion"],"prefix":"10.1093","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3256-2257","authenticated-orcid":false,"given":"Vignesh","family":"Ratnaraj","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, The Royal Melbourne Hospital , Parkville, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asen","family":"Ivanov","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, The Royal Melbourne Hospital , Parkville, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8330-3917","authenticated-orcid":false,"given":"Edward","family":"Buratto","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, The Royal Melbourne Hospital , Parkville, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4165-820X","authenticated-orcid":false,"given":"Peter","family":"Skillington","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, The Royal Melbourne Hospital , Parkville, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,3,21]]},"reference":[{"year":"2001","author":"Pritts","key":"2023040621282008600_"},{"key":"2023040621282008600_","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/j.ejcts.2005.05.028","article-title":"Early sternal erosion and luetic aneurysms of thoracic aorta: report of 6 cases and analysis of cause-effect relationship","volume":"28","author":"Bodhey","year":"2005","journal-title":"Eur J Cardiothorac Surg"},{"key":"2023040621282008600_","doi-asserted-by":"crossref","first-page":"e74","DOI":"10.1093\/ejcts\/ezt563","article-title":"Periaortic cutaneous fistula 10 years after type A aortic dissection","volume":"45","author":"Kuiten","year":"2014","journal-title":"Eur J Cardiothorac Surg"},{"key":"2023040621282008600_","doi-asserted-by":"crossref","first-page":"1928","DOI":"10.1016\/j.amjcard.2015.09.038","article-title":"Infective endocarditis involving the pulmonary valve","volume":"116","author":"Miranda","year":"2015","journal-title":"Am J Cardiol"},{"key":"2023040621282008600_","doi-asserted-by":"crossref","first-page":"1910","DOI":"10.1016\/j.athoracsur.2009.07.012","article-title":"Sternocutaneous fistulas after cardiac surgery: incidence and late outcome during a ten-year follow-up","volume":"88","author":"Steingr\u00edmsson","year":"2009","journal-title":"Ann Thorac Surg"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/advance-article-pdf\/doi\/10.1093\/ejcts\/ezad099\/49583951\/ezad099.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/63\/4\/ezad099\/49791000\/ezad099.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/63\/4\/ezad099\/49791000\/ezad099.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,9]],"date-time":"2023-12-09T02:49:29Z","timestamp":1702090169000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/doi\/10.1093\/ejcts\/ezad099\/7082537"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,21]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4,3]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezad099","relation":{},"ISSN":["1873-734X"],"issn-type":[{"type":"electronic","value":"1873-734X"}],"subject":[],"published-other":{"date-parts":[[2023,4,1]]},"published":{"date-parts":[[2023,3,21]]},"article-number":"ezad099"}}