Mitral valve ring dehiscence with an aorta-left atrial fistula.
In an era with the increasing use of various imaging modalities including echocardiography, ventriculography and cardiac magnetic resonance (CMR) imaging, one must be aware of the limitations of each discipline. We report a case of an individual who presented with both a partial dehiscence of a mitral valve annuloplasty ring and an aorta-left atrium fistula following surgical management of infective endocarditis that was correctly identified using transesophageal echocardiographic imaging.
Jassal
Davinder S
DS
Cardiac Ultrasound Laboratory, Cardiology Division, Massachusetts General Hospital, VBK-508, 55 Fruit Street, Boston, MA 02114, USA. djassal@partners.org
Neilan
Tomas G
TG
Fatima
Umaima
U
Holmvang
Godtfred
G
Agnihotri
Arvind
A
Palacios
Igor
I
Yoerger
Danita M
DM
D001011:Aorta / Q000000981:diagnostic imaging* / Q000473:pathology; D001021:Aortic Valve / Q000382:microbiology* / Q000473:pathology; D004697:Endocarditis, Bacterial; D005402:Fistula / Q000000981:diagnostic imaging* / Q000382:microbiology; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000382:microbiology*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000382:microbiology; D013290:Streptococcal Infections / Q000150:complications* / Q000503:physiopathology; D014463:Ultrasonography; D016157:Vascular Fistula / Q000382:microbiology*; D034363:Viridans Streptococci