A postoperative left ventricular-right atrial shunt due to infectious endocarditis after aortic repair with aortic valve replacement detected by transesophageal echocardiography

A postoperative left ventricular-right atrial shunt due to infectious endocarditis after aortic repair with aortic valve replacement detected by transesophageal echocardiography

Abstract Infectious endocarditis (IE) with acute heart failure is a medical emergency. In particular, postoperative IE after aortic repair with an artificial vascular graft is a life-threatening matter. We present a case in which a mobile abscess appeared on the aortic valve annulus with an intra-ca...

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Bibliographic Details
Main Authors: Toshiyuki Sawai, Junko Nakahira, Manabu Kitano, Toshiaki Minami
Format: Article
Language:English
Published: SpringerOpen 2016-09-01
Series:JA Clinical Reports
Subjects:
Aortic Valve
Infective Endocarditis
Aortic Dissection
Acute Heart Failure
Right Atrium
Online Access:http://link.springer.com/article/10.1186/s40981-016-0052-7
Description
Summary:Abstract Infectious endocarditis (IE) with acute heart failure is a medical emergency. In particular, postoperative IE after aortic repair with an artificial vascular graft is a life-threatening matter. We present a case in which a mobile abscess appeared on the aortic valve annulus with an intra-cardiac shunt in the left ventricle (LV) to the right atrium (RA) after ascending aortic repair with aortic valve replacement (AVR) for acute type A aortic dissection. It was diagnosed with transesophageal echocardiography (TEE), which prompted further exploration.
ISSN:2363-9024

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