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Case report: Aorto-left atrial fistula—A rare complication of native aortic valve endocarditis
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Case report: Aorto-left atrial fistula—A rare complication of native aortic valve endocarditis
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Journal Article
Case report: Aorto-left atrial fistula—A rare complication of native aortic valve endocarditis
2023
Overview
Background
Aorto-cavitary fistula is a rare complication of infective endocarditis. Multimodal imaging is commonly required to assess the severity and extent of infection because of the complex pathology of the valvular and paravalvular apparatus in endocarditis.
Case presentation
We present an unusual case of a middle-aged man with recent history of meningoencephalitis who developed infective endocarditis complicated by ruptured abscess in inter-valvular fibrosa between aortic and mitral valve resulting in free communication or fistula formation between aorta and left atrium. Patient underwent double valve replacement (aortic and mitral) along with repair of the aorta.
Conclusions
Our case highlights recognition of this rare clinical presentation of aorto-left atrial fistula in infective endocarditis and the diagnostic role of transesophageal echocardiography in good clinical outcome with aggressive and timely management.
Publisher
Springer Berlin Heidelberg,Springer,Springer Nature B.V,SpringerOpen
Subject
