title: Acquired left ventricular-right atrial communication and severe aortic valve regurgitation caused by infective endocarditis.
abstract: We report here on a surgical case of acquired left ventricular right atrial communication (LV-RA communication) and aortic regurgitation (AR) caused by infective endocarditis (IE). We successfully treated the patient with composite patches made from polytetrafluoroethylene (PTFE) and autologous pericardium. In general, LV-RA communication is a rare congenital cardiac anomaly (Gerbode-type shunt). However, acquired LV-RA communications secondary to IE are occasionally reported.When repairing an acquired condition due to IE, particular care should be taken to avoid recurrence, persistent infection and iatrogenic atrioventricular block.
authors.affiliation: Department of Thoracic, Cardiovascular and Hepatobiliary-Pancreatic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. h-inoue@m3.kufm.kagoshima-u.ac.jp
authors.forename: H
authors.initials: H
authors.lastname: Inoue
authors.forename: Y
authors.initials: Y
authors.lastname: Iguro
authors.forename: T
authors.initials: T
authors.lastname: Kinjo
authors.forename: H
authors.initials: H
authors.lastname: Matsumoto
authors.forename: G
authors.initials: G
authors.lastname: Yotsumoto
authors.forename: R
authors.initials: R
authors.lastname: Sakata
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D001705:Bioprosthesis; D006348:Cardiac Surgical Procedures / Q000295:instrumentation; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D006325:Heart Atria / Q000382:microbiology / Q000601:surgery; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006352:Heart Ventricles / Q000382:microbiology / Q000601:surgery; D006801:Humans; D010496:Pericardium / Q000637:transplantation; D011138:Polytetrafluoroethylene; D013536:Suture Techniques; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D011138:Polytetrafluoroethylene