[A case of left ventricular-right atrial communication complicated with aortic regurgitation caused by active infective endocarditis].
A 63-year-old man with cough and shortness of breath was diagnosed to have active infective endocarditis resulting in acute pulmonary edema with aortic regurgitation caused by a huge vegetation on the noncoronary cusp and left ventricular-right atrial (LV-RA) communication which were demonstrated by the echocardiogram and color doppler method. The LV-RA communication located at the atrioventricular portion of the membranous septum was closed with GoreTex patch through the right atrium combined with the aortic valve replacement with a bileaflet mechanical valve in emergency. The bacteriological studies demonstrated staphylococcus epidermidis. The postoperative course was uneventful and the patient is now on regular duty two years after surgery.
Department of Cardiovascular Surgery, Hokkaido Ohno Hospital, Sapporo, Japan.
Y
Y
Okada
K
K
Sugiki
H
H
Hamaya
A
A
Sasaki
H
H
Terai
T
T
Ohno
D001022:Aortic Valve Insufficiency / Q000209:etiology* / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000150:complications*; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D006325:Heart Atria; D006331:Heart Diseases / Q000209:etiology* / Q000601:surgery; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D011654:Pulmonary Edema / Q000209:etiology; D013203:Staphylococcal Infections / Q000150:complications*; D013212:Staphylococcus epidermidis