[Infective endocarditis with the fistula from sinus Valsalva to right atrium and ventricle; report of a case].
A 77-year-old man complained general fatigue and fever. Preoperative echocardiography revealed vegetation of aortic valve, abnormal shunt flow from the sinus of Valsalva was detected in the right atrium and ventricle without perivalvular abscess cavity or aneurysm of the sinus of Valsalva. He diagnosed aortic valve endocarditis with aorto-right atrium and ventricle fistula. He received aortic valve replacement and patch closure at the sinus of Valsalva using the pericardium. Residural aortic-right atrium and ventricle shunt was not detected after the operation, the post operative course was uneventful without congestive heart failure nor signs of infection.
Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Japan.
Syuichi
S
Okada
T
T
Kaneko
M
M
Ezure
Y
Y
Satoh
Y
Y
Hasegawa
N
N
Koike
H
H
Takihara
D000368:Aged; D004696:Endocarditis / Q000150:complications* / Q000601:surgery; D005402:Fistula / Q000150:complications* / Q000601:surgery; D006325:Heart Atria; D006331:Heart Diseases / Q000150:complications* / Q000601:surgery; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva; D016157:Vascular Fistula / Q000150:complications* / Q000601:surgery