title: [Aorto-right ventricular fistula associated with aortic valve endocarditis: a case report].
abstract: 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.
authors.affiliation: Klinika Kardiologii AMB, Samodzielny Publiczny Szpital Kliniczny, ul. M. Skłodowskiej-Curie 24A, 15-276 Białystok. walkaz@poczta.fm
authors.forename: Anna
authors.initials: A
authors.lastname: Tomaszuk-Kazberuk
authors.forename: Bozena
authors.initials: B
authors.lastname: Sobkowicz
authors.forename: Tomasz
authors.initials: T
authors.lastname: Hirnle
authors.forename: Anna
authors.initials: A
authors.lastname: Adamczuk
authors.forename: Robert
authors.initials: R
authors.lastname: Sawicki
authors.forename: Romuald
authors.initials: R
authors.lastname: Krynicki
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Knapp
authors.forename: Włodzimierz J
authors.initials: WJ
authors.lastname: Musiał
mesh_terms: 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