Left ventricle to left atrium shunt via a paravalvular abscess.
Intracardiac fistulas are rare complications of infective endocarditis that contribute to the complexity of surgical management, and impose an additional hemodynamic burden on the already challenged heart. We report on a case of successful surgical management of a paravalvular communication between the left ventricle and the left atrium via an abscess cavity.
Department of Cardiac Surgery, University Hospital Rebro Zagreb, 10000 Zagreb, Croatia. hgasparovic@kbc-zagreb.hr
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Gasparovic
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Smalcelj
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Brida
D000038:Abscess / Q000175:diagnosis / Q000382:microbiology / Q000503:physiopathology / Q000601:surgery*; D006328:Cardiac Catheterization; D003646:Debridement; D015150:Echocardiography, Doppler; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology / Q000503:physiopathology / Q000601:surgery*; D005402:Fistula / Q000175:diagnosis / Q000382:microbiology / Q000503:physiopathology / Q000601:surgery*; D006331:Heart Diseases / Q000175:diagnosis / Q000382:microbiology / Q000503:physiopathology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000382:microbiology / Q000503:physiopathology / Q000601:surgery*; D010496:Pericardium / Q000637:transplantation; D013211:Staphylococcus aureus / Q000302:isolation & purification; D016896:Treatment Outcome