[Aorto-right ventricular fistula associated with aortic valve endocarditis: a case report].
A case of a 42-year old man with aortic valve endocarditis with peri-anular multi-chamber abscess formation and fistulous communication between right sinus of Valsalva and right ventricle, is presented. Transthoracic echocardiography revealed abnormal flow through the fistula confirmed at surgery. Intraoperatively the aortic valve was severely damaged with massive calcifications on the leaflets, anulus, right sinus of Valsalva and interventricular septum surrounded by fresh vegetations. Surgical procedure consisted of removal of calcification and infected tissues, followed by reconstruction of interventricular septum and aorta with pericardial patch and aortic valve replacement. Postoperative course was uneventful.
Tomaszuk-Kazberuk
Anna
A
Klinika Kardiologii AMB, Samodzielny Publiczny Szpital Kliniczny, ul. M. Skłodowskiej-Curie 24A, 15-276 Białystok. walkaz@poczta.fm
Sobkowicz
Bozena
B
Hirnle
Tomasz
T
Adamczuk
Anna
A
Sawicki
Robert
R
Krynicki
Romuald
R
Knapp
Małgorzata
M
Musiał
Włodzimierz J
WJ
D000328:Adult; D001018:Aortic Diseases / Q000209:etiology*; D001021:Aortic Valve / Q000601:surgery; D002114:Calcinosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D009202:Cardiomyopathies / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000601:surgery; D006346:Heart Septum / Q000601:surgery; D006349:Heart Valve Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging; D013203:Staphylococcal Infections / Q000150:complications*; D014463:Ultrasonography; D016157:Vascular Fistula / Q000209:etiology* / Q000601:surgery