[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.
Okada
Y
Y
Department of Cardiovascular Surgery, Hokkaido Ohno Hospital, Sapporo, Japan.
Sugiki
K
K
Hamaya
H
H
Sasaki
A
A
Terai
H
H
Ohno
T
T
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