Aorta-right atrial fistula: a rare complication of prosthetic aortic valvular endocarditis

J Am Soc Echocardiogr. 2007 May;20(5):538.e5-6. doi: 10.1016/j.echo.2006.11.010.

Abstract

Aortic root abscess is a well-known complication of aortic valve endocarditis but intracardiac fistulas are rarely seen. This report describes a patient with prosthetic valve endocarditis who had an aortic root abscess that ruptured into the right atrium creating an aortic-right atrial fistula and causing a highly mobile vegetative mass in the right atrium.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aorta, Thoracic
  • Aortic Diseases / diagnostic imaging
  • Aortic Diseases / etiology*
  • Aortic Valve Insufficiency / surgery
  • Diagnosis, Differential
  • Echocardiography, Transesophageal
  • Endocarditis / complications*
  • Endocarditis / diagnostic imaging
  • Endocarditis / microbiology
  • Female
  • Heart Atria*
  • Heart Valve Prosthesis / microbiology*
  • Heart Valve Prosthesis Implantation / adverse effects
  • Humans
  • Prosthesis-Related Infections / complications*
  • Prosthesis-Related Infections / diagnostic imaging
  • Prosthesis-Related Infections / microbiology
  • Staphylococcal Infections / complications*
  • Staphylococcal Infections / diagnostic imaging
  • Staphylococcal Infections / microbiology
  • Staphylococcus aureus / isolation & purification
  • Vascular Fistula / diagnostic imaging
  • Vascular Fistula / etiology*