Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis
Paravalvular aortic root abscess with intracardiac fistula formation is an exceedingly rare complication of infective endocarditis. This condition is even more rarely encountered in patients with bioprosthetic valve endocarditis. We report an unusual case of a 68-year-old Bosnian female with a biopr...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2015/473246 |
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| author | Abhinav Agrawal Martin Miguel Amor Deepa Iyer Manan Parikh Marc Cohen |
| author_facet | Abhinav Agrawal Martin Miguel Amor Deepa Iyer Manan Parikh Marc Cohen |
| author_sort | Abhinav Agrawal |
| collection | DOAJ |
| description | Paravalvular aortic root abscess with intracardiac fistula formation is an exceedingly rare complication of infective endocarditis. This condition is even more rarely encountered in patients with bioprosthetic valve endocarditis. We report an unusual case of a 68-year-old Bosnian female with a bioprosthetic aortic valve, who developed an extensive aortic root abscess, complicated by an aortico-left atrial intracardiac fistula. This case illustrates that a high index of suspicion, prompt diagnosis by echocardiography, proper antibiotic therapy, and early surgical intervention are crucial to improving treatment outcomes for this rare condition. |
| format | Article |
| id | doaj-art-e8b0394d51654ed594791b720e2f7d0e |
| institution | DOAJ |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-e8b0394d51654ed594791b720e2f7d0e2025-08-20T03:21:10ZengWileyCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/473246473246Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalisAbhinav Agrawal0Martin Miguel Amor1Deepa Iyer2Manan Parikh3Marc Cohen4Department of Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USADepartment of Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USADepartment of Cardiology, Robert Wood Johnson University Hospital, New Brunswick, NJ 08901, USADepartment of Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USADepartment of Cardiology, Newark Beth Israel Medical Center, Newark, NJ 07712, USAParavalvular aortic root abscess with intracardiac fistula formation is an exceedingly rare complication of infective endocarditis. This condition is even more rarely encountered in patients with bioprosthetic valve endocarditis. We report an unusual case of a 68-year-old Bosnian female with a bioprosthetic aortic valve, who developed an extensive aortic root abscess, complicated by an aortico-left atrial intracardiac fistula. This case illustrates that a high index of suspicion, prompt diagnosis by echocardiography, proper antibiotic therapy, and early surgical intervention are crucial to improving treatment outcomes for this rare condition.http://dx.doi.org/10.1155/2015/473246 |
| spellingShingle | Abhinav Agrawal Martin Miguel Amor Deepa Iyer Manan Parikh Marc Cohen Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis Case Reports in Cardiology |
| title | Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis |
| title_full | Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis |
| title_fullStr | Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis |
| title_full_unstemmed | Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis |
| title_short | Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis |
| title_sort | aortico left atrial fistula a rare complication of bioprosthetic aortic valve endocarditis secondary to enterococcus faecalis |
| url | http://dx.doi.org/10.1155/2015/473246 |
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