title: Ventriculo-atrial defect after bioprosthetic aortic valve replacement.
abstract: We present a case of a 71-year-old Caucasian male with a ventriculo-atrial defect due to infective endocarditis, originating from his aortic root near a bioprosthetic aortic valve, implanted 4 years earlier. Ventriculo-atrial defects are rare and can occur after endocarditis with abscess formation, usually in native tissue. We report a ventriculo-atrial defect due to a paravalvular aortic prosthetic defect, secondary to inflammation, a novel third type of a Gerbode defect. Case presentation, clinical decision making and surgical approach are discusses in this report.
authors.affiliation: Department of Anesthesia and Pain Medicine, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Groningen, 9700 RB, The Netherlands. j.s.jainandunsing@umcg.nl.
authors.forename: Jayant S
authors.initials: JS
authors.lastname: Jainandunsing
authors.affiliation: Department of Anesthesia and Pain Medicine, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Groningen, 9700 RB, The Netherlands. r.bergman@umcg.nl.
authors.forename: Remco
authors.initials: R
authors.lastname: Bergman
authors.affiliation: Department of Cardiothoracic Surgery, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Groningen, 9700 RB, The Netherlands. j.wilkens@umcg.nl.
authors.forename: Jacob
authors.initials: J
authors.lastname: Wilkens
authors.affiliation: Department of Anesthesia Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, Massachussetts, 02215, USA. angela.angel.wang@gmail.com.
authors.forename: Angela
authors.initials: A
authors.lastname: Wang
authors.affiliation: Department of Cardiothoracic Surgery, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Groningen, 9700 RB, The Netherlands. g.michielon@umcg.nl.
authors.forename: Guido
authors.initials: G
authors.lastname: Michielon
authors.affiliation: Department of Cardiothoracic Surgery, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Groningen, 9700 RB, The Netherlands. e.natour@umcg.nl.|Department Cardiothoracic Surgery, University Medical Center Groningen, Hanzeplein 1, Groningen, 9700 RB, The Netherlands. e.natour@umcg.nl.
authors.forename: Ehsan
authors.initials: E
authors.lastname: Natour
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001705:Bioprosthesis; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006325:Heart Atria; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D013292:Streptococcus agalactiae