title: Acquired aortoventricular tunnel: a rare complication of infective endocarditis.
abstract: A 26-year-old man presented to emergency department with fever associated with night sweating and weight loss since 2 months prior to admission. He was an intravenous heroin user admitted for infective endocarditis of aortic valve 1 year ago. Transthoracic echocardiography followed by the transesophageal study showed bileaflet aortic prosthesis with normal transvalvular gradient and severe paravalvular aortic insufficiency. A pseudoaneurysm of intervalvular fibrosa connecting left ventricular outflow tract (LVOT) to noncoronary sinus of valsalva was detected.
authors.affiliation: Cardiology Department, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Moaref
authors.forename: Shahab
authors.initials: S
authors.lastname: Shahrzad
authors.forename: Amir
authors.initials: A
authors.lastname: Aslani
mesh_terms: D000328:Adult; D000785:Aneurysm, Infected / Q000150:complications*; D001022:Aortic Valve Insufficiency / Q000209:etiology*; D004452:Echocardiography; D004635:Emergency Medicine; D004696:Endocarditis / Q000150:complications*; D006801:Humans; D008297:Male