Left ventricular to right atrial shunt resulting from infective endocarditis.
نویسندگان
چکیده
A unique case is described in which infective endocarditis of the aortic valve led to intractable heart failure and necropsy examination showed that the patient had developed a communication between the left ventricle and right atrium.
منابع مشابه
Ventricular septal defect with secondary left ventricular-to-right atrial shunt is associated with a higher risk for infective endocarditis and a lower late chance of closure.
OBJECTIVE Although ventricular septal aneurysm may diminish or even close the shunt through the ventricular septal defect (VSD), developing a left ventricular-to-right atrial (LV-RA) shunt may be unfavorable. This study sought to clarify this issue on the basis of an extended observation of such patients. METHODS Sixty-eight patients (1201 patient-years) who had small perimembranous VSD and L...
متن کاملUncommon acquired Gerbode defect following extensive bicuspid aortic valve endocarditis
Gerbode defect is a rare type of left ventricle to right atrium shunt. It is usually congenital in origin, but acquired cases are also described, mainly following infective endocarditis, valve replacement, trauma or acute myocardial infarction. We report a case of a 50-year-old man who suffered an extensive and complex infective endocarditis involving a bicuspid aortic valve, the mitral-aortic ...
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Herein, we present the case of a 10-year-old child suffering from right-sided infective endocarditis with ventricular septal defect. Echocardiography revealed multiple rare large vegetations on the pulmonary valve extending into pulmonary artery along with a large vegetation over the septal leaflet of the tricuspid valve.
متن کاملSubaortic-Right Atrial Fistula after Endocarditis in Hypertrophic Cardiomyopathy.
UNLABELLED Infective endocarditis in hypertrophic obstructive cardiomyopathy is rare. Management of this disease is challenging due to the unique features of dynamic pressure gradient over the left ventricular outflow tract and its unpredictable interaction with the management of sepsis. The added complexity of infective endocarditis further complicates an already difficult situation. A 72-year...
متن کاملLeft ventricular to right atrial shunt (Gerbode defect): congenital versus acquired
INTRODUCTION Congenital left ventricular to right atrial (LV-RA) shunt (Gerbode defect) is rare, while acquired LV-RA shunt has been increasingly reported. As yet, systematically incorporated data of the LV-RA shunt have not been presented. AIM To present the clinical features, diagnostic challenge and management strategies of congenital and acquired LV-RA shunts. MATERIAL AND METHODS The d...
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عنوان ژورنال:
- Thorax
دوره 30 1 شماره
صفحات -
تاریخ انتشار 1975