Diastolic Aorto–Right-Atrial Fistulation in Aortic and Tricuspid Valve Endocarditis
نویسندگان
چکیده
Background Aorto-right-atrial fistula in native valve endocarditis is very rare. Case Description A 45-year-old woman was referred with an endocarditis with a perforated right cusp of the aortic valve with at least moderate insufficiency and an affected tricuspid annulus with vegetations. In addition to this, an aorto-cavitary fistula from the aortic sinus to the right atrium with a holodiastolic left-right shunt had been detected. Streptococci viridans were found as underlying pathogen. Complete replacement of the aortic root and resection of the fistula were performed with good result. Conclusion Endocarditis with fistula formation is rare and has to be treated aggressively.
منابع مشابه
Aorta to right atrial fistula presenting as a rare complication of native bicuspid aortic valve endocarditis.
Case Presentation A 54-year-old male with a past medical history significant for mild pulmonic stenosis and bicuspid aortic valve presented with a 10-day history of fever, fatigue, and exertional dyspnea. On physical exam, a grade 3/6 systolic murmur loudest at the right second intercostal space radiating to the neck was appreciated. Lab reports indicated leukocytosis of 9.5. Severe pulmonary h...
متن کاملA rare case of aortic sinuses of valsalva fistula to multiple cardiac chambers secondary to periannular aortic abscess formation from underlying Brucella endocarditis
The concomitant presence of abnormal connection from three aortic valsalva sinuses to cardiac chambers is a rare complication of native aortic Brucella endocarditis. This case report presents a 37-year-old Iranian female patient who had native aortic valve Brucella endocarditis complicated by periannular abscess formation and subsequent perforation to multi-cardiac chambers associated with cong...
متن کاملSpectrum of echocardiographic findings in tricuspid valve endocarditis.
This report describes a spectrum of M-mode and cross-sectional echocardiographic abnormalities in eight patients with infective endocarditis of the tricuspid valve. The M-mode echocardiogram of the tricuspid valve was abnormal in all but one patient in whom abnormal echoes were seen anterior to the tricuspid valve, in the right ventricular cavity and right ventricular outflow tract. Six patient...
متن کاملA rare case of prosthetic aortic valve endocarditis complicated with multiple fistula to peri aortic structure
Multiple aorto-cardiac cavity communications is very rare but important complication of prosthetic aortic valve endocarditis. The case below illustrates multiple aorto-cardiac cavity fistula formation following prostethic aortic valve endocarditis presented with slowly progressive symptoms of heart failure. A brief review of surgical reconstruction and the existing literature are presented, i...
متن کاملAortic Valve Staphylococcus Aureus Endocarditis Complicated by Sinus of Valsalva-Right Atrial Fistula
Infective Endocarditis is an extremely rare etiology of sinus of Valsalva-right atrial fistulas, abnormal connections between the aorta and the right atrium. We report the case of a 21-year-old female patient with native aortic valve Staphylococcus aureus endocarditis complicated by sinus of Valsalva abscess perforation associated with an acute heart block, an aorto-right atrial fistula, severe...
متن کامل