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Left Ventricular Outflow Tract–Right Atrial Fistula Following Aortic Valve Replacement
Author(s) -
Elmistekawy Elsayed,
Dickie Sean,
Nicholson Donna,
Mesana Thierry
Publication year - 2012
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2012.01486.x
Subject(s) - medicine , ventricular outflow tract , cardiology , aortic valve replacement , fistula , endocarditis , emergency surgery , cardiac surgery , aortic valve , surgery , stenosis
A 59‐year‐old male, undergoing outpatient treatment of a sternal wound infection following elective aortic valve replacement surgery, presented with decompensated heart failure. The patient required emergency redo surgery after investigations revealed a left ventricular outflow tract to right atrial fistula due to endocarditis with right ventricular dysfunction. Echocardiography, in particular transesophageal echocardiography, was essential for the diagnosis of this rare event. (J Card Surg 2012;27:570‐572)