Fatal ascending aorta-to-right ventricle fistula formation after Staphylococcus aureus endocarditis of bicuspid aortic valve.
We present a case of a 46-year-old man with advanced acquired immunodeficiency syndrome and congenitally bicuspid aortic valve endocarditis caused by methicillin- and gentamicin-resistant Staphylococcus aureus. Endocarditis led to root abscess formation, a complete heart block, and fistulous tract formation between the ascending aorta and the right ventricle. Although perivalvular abscess is not an unusual complication of native valve endocarditis, a fatal fistulous communication between the ascending aorta and the right ventricle is exceedingly rare.
Coleman
Jakemia M
JM
Department of Medicine, New Jersey Medical School, 185 South Orange Avenue, University Heights, Newark, NJ 07103, USA.
Haider
Bunyad
B
Cuyjet
Aloysius B
AB
Zakir
Ramzan M
RM
Riauba
Linas
L
Saric
Muhamed
M
D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D001021:Aortic Valve; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology*