Three-dimensional echocardiographic delineation of an acquired aorto-left atrial fistula complicating native aortic valve endocarditis - "advantage of three dimensions".
Aorto-atrial fistulas are rare, but important complications resulting from aortic valve infective endocarditis, aortic valve surgery, or aortic dissection. We hereby report a case of a 20-year male, referred to us with infective endocarditis of the native aortic valve with severe aortic regurgitation and symptoms of heart failure. Detailed evaluation with two-dimensional and three-dimensional transthoracic echocardiography revealed aorto-left atrial fistula secondary to the involvement of the mitral-aortic intervalvular fibrosa (MAIVF) region. The patient underwent successful removal of the vegetations, closure of the defect along with aortic valve replacement, and mitral valve repair.
Department of Cardiology, King George's Medical University, Lucknow, UP, India.
Sharad
S
Chandra
Deepak
D
Ameta
Rajiv Bharat
RB
Kharwar
Mukesh
M
Goyal
Devesh
D
Kumar
Sudhanshu Kumar
SK
Dwivedi
Ram Kirti
RK
Saran
D000328:Adult; D001021:Aortic Valve / Q000000981:diagnostic imaging*; D019560:Echocardiography, Three-Dimensional; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging*; D005402:Fistula / Q000150:complications / Q000000981:diagnostic imaging; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000150:complications* / Q000000981:diagnostic imaging*; D006333:Heart Failure / Q000150:complications; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis; D016157:Vascular Fistula / Q000150:complications* / Q000000981:diagnostic imaging*; D055815:Young Adult
aortic valve endocarditis; three-dimensional transthoracic echocardiography; vegetations