Aorto-right atrial fistula: Late complication of tricuspid valve infective endocarditis

Abnormal connections between the ascending aortaand the cardiac chambers are rare, especially in thecontext of right-sided infective endocarditis(IE). Trans-thoracic echocardiography(TTE) with color-flow Dop-pler, transesophageal echocardiography(TEE), or bothmay be required for diagnosis. We presen...

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Published inWorld journal of cardiology Vol. 6; no. 10; pp. 1122 - 1126
Main Authors Villablanca, Pedro A, Sukhal, Shashvat, Maitas, Oscar, Onuegbu, Afiachuukwu, Muñoz-Peña, Juan M, Joseph, Ajay, Requena, Carlos, Mohananey, Divyanshu
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 26.10.2014
Subjects
Aorto-cardiac
Case Report
endocarditis
fistula
Infective
Tricuspid
valve
Infective endocarditis
Tricuspid valve
Aorto-cardiac fistula
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Abstract Abnormal connections between the ascending aortaand the cardiac chambers are rare, especially in thecontext of right-sided infective endocarditis(IE). Trans-thoracic echocardiography(TTE) with color-flow Dop-pler, transesophageal echocardiography(TEE), or bothmay be required for diagnosis. We present the case ofa woman admitted with right-sided heart failure(HF)symptoms. She had a previous history of tricuspid valveIE 30 years ago. TTE and TEE revealed an aorto-rightatrium fistula located just under the non-coronary cuspinto the right atrium at the level of the previously af-fected tricuspid valve. The Patient refused surgery andwas discharged home on HF medications. She has beenstable for the last 3 years. The peculiarity of this caseis the late symptomatic presentation of the aorto-atrialfistula and the unusual association to tricuspid valve IE.
AbstractList Abnormal connections between the ascending aorta and the cardiac chambers are rare, especially in the context of right-sided infective endocarditis (IE). Transthoracic echocardiography (TTE) with color-flow Doppler, transesophageal echocardiography (TEE), or both may be required for diagnosis. We present the case of a woman admitted with right-sided heart failure (HF) symptoms. She had a previous history of tricuspid valve IE 30 years ago. TTE and TEE revealed an aorto-right atrium fistula located just under the non-coronary cusp into the right atrium at the level of the previously affected tricuspid valve. The Patient refused surgery and was discharged home on HF medications. She has been stable for the last 3 years. The peculiarity of this case is the late symptomatic presentation of the aorto-atrial fistula and the unusual association to tricuspid valve IE.
Abnormal connections between the ascending aortaand the cardiac chambers are rare, especially in thecontext of right-sided infective endocarditis(IE). Trans-thoracic echocardiography(TTE) with color-flow Dop-pler, transesophageal echocardiography(TEE), or bothmay be required for diagnosis. We present the case ofa woman admitted with right-sided heart failure(HF)symptoms. She had a previous history of tricuspid valveIE 30 years ago. TTE and TEE revealed an aorto-rightatrium fistula located just under the non-coronary cuspinto the right atrium at the level of the previously af-fected tricuspid valve. The Patient refused surgery andwas discharged home on HF medications. She has beenstable for the last 3 years. The peculiarity of this caseis the late symptomatic presentation of the aorto-atrialfistula and the unusual association to tricuspid valve IE.
Author Pedro A Villablanca Shashvat Sukhal Oscar Maitas Afiachuukwu Onuegbu Juan M Muoz-Pea Ajay Joseph Carlos Requena Divyanshu Mohananey
AuthorAffiliation Department of InternalMedicine, John H. Stroger, Jr. Hospital of Cook County, Chicago,IL 60612, United States
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Copyright 2014 Baishideng Publishing Group Inc. All rights reserved. 2014
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Tricuspid valve
Aorto-cardiac fistula
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Notes Pedro A Villablanca;Shashvat Sukhal;Oscar Maitas;Afiachuukwu Onuegbu;Juan M Muoz-Pea;Ajay Joseph;Carlos Requena;Divyanshu Mohananey;Department of InternalMedicine, John H. Stroger, Jr. Hospital of Cook County, Chicago,IL 60612, United States
Telephone: +1-773-4566609 Fax: +1-312-8649725
Author contributions: Each of the listed authors contributed to drafting and revision of this manuscript
Correspondence to: Pedro A Villablanca, MD, Department of Internal Medicine, John H. Stroger Jr. Hospital of Cook County, 1900 West Polk Street, 15th Floor, Chicago, IL 60612, United States. pedrovillablanca@hotmail.com
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Snippet Abnormal connections between the ascending aortaand the cardiac chambers are rare, especially in thecontext of right-sided infective endocarditis(IE)....
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SubjectTerms Aorto-cardiac
Case Report
endocarditis
fistula
Infective
Tricuspid
valve
Title Aorto-right atrial fistula: Late complication of tricuspid valve infective endocarditis
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