title: A rare complication of aortic valve endocarditis: diagnosis with transesophageal echocardiography.
abstract: Rupture of the membranous interventricular septum resulting in a left ventricular to right atrial shunt is a rare complication of endocarditis. Early recognition of this complication is essential because these patients require early surgical intervention. We report a case of a left ventricular-right atrial shunt complicating aortic valve endocarditis in which transesophageal echocardiography was used to accurately diagnose the lesion before surgery. We will discuss the role of transesophageal echocardiography in the diagnosis of this lesion and will review the existing literature pertaining to this rare complication.
authors.affiliation: Department of Internal Medicine, Tripler Army Medical Center, Honolulu, HI 96859-5000, USA.
authors.forename: T M
authors.initials: TM
authors.lastname: Winslow
authors.forename: D A
authors.initials: DA
authors.lastname: Friar
authors.forename: A W
authors.initials: AW
authors.lastname: Larson
authors.forename: M J
authors.initials: MJ
authors.lastname: Barry
mesh_terms: D000328:Adult; D001021:Aortic Valve; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications*; D006349:Heart Valve Diseases / Q000150:complications*; D006801:Humans; D008297:Male; D013203:Staphylococcal Infections / Q000150:complications*; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery