title: [Aortic prosthetic valve endocarditis with aorto-left atrium fistula; report of a case].
abstract: An 83-year-old man had undergone aortic valve replacement (AVR)[CEP Magna 21 mm] and coronary aortic bypass grafting (CABG)[left internal thoracic artery (LITA)-left anterier descending artery( LAD)] 2 years ago in our hospital. He was admitted for fever of unknown origin and developed a stroke to another hospital. The echocardiography and computerized tomography showed an abscessaround the aortic prosthetic valve. Prosthetic valve endocarditis (PVE) was diagnosed, and he was transferred to our hospital for surgical treatment. Three days after admission, acute heart failure developed that led to an emergency operation. When the ascending aorta was dissected, an aorto-left atrium fistula and vegetation were recognized. Aortic valve replacement and patch plasty of the aorto-left atrium fistula were performed successfully. This case was diagnosed as PVE with aorto-left atrium fistula, which is quite a rare complication of PVE.
authors: Department of Cardiovascular Surgery, Hokkaido Prefectural Kitami Hospital, Kitami, Japan.
authors: Junji
authors: J
authors: Nakazawa
authors: Shuichi
authors: S
authors: Naraoka
authors: Toshiyuki
authors: T
authors: Maeda
authors: Satomi
authors: S
authors: Inoue
mesh_terms: D000369:Aged, 80 and over; D001018:Aortic Diseases / Q000150:complications*; D001021:Aortic Valve / Q000601:surgery*; D004696:Endocarditis / Q000209:etiology*; D005402:Fistula / Q000150:complications*; D006325:Heart Atria; D006331:Heart Diseases / Q000150:complications*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections; D016157:Vascular Fistula / Q000150:complications*