Document Detail

An acquired interatrial fistula secondary to para-aortic abscess documented by transesophageal echocardiography.
MedLine Citation:
PMID:  1854498     Owner:  NLM     Status:  MEDLINE    
Para-aortic ring abscess and resulting fistulous communication between adjacent structures frequently occur in prosthetic aortic valve endocarditis but are rarely diagnosed preoperatively. We report a patient who had an abscess involving the aortic-mitral intervalvular fibrosa that eroded into the interatrial septum, causing an interatrial communication with a left-to-right shunt. The abscess was detected by transthoracic echocardiography, but the fistula was only seen by the subsequent transesophageal echocardiogram. To our knowledge, this is the first report of an interatrial fistula secondary to a para-aortic valve abscess and its diagnosis preoperatively. Transesophageal echocardiography should be performed in any patient suspected to have complicated aortic endocarditis.
R C Sheppard; K Chandrasekaran; J Ross; G S Mintz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  4     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:    1991 May-Jun
Date Detail:
Created Date:  1991-08-27     Completed Date:  1991-08-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  271-6     Citation Subset:  IM    
Department of Cardiology, Likoff Cardiovascular Institute, Hahnemann University Hospital, Philadelphia, PA 19102.
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MeSH Terms
Abscess / complications*,  ultrasonography
Aortic Valve / ultrasonography*
Cardiomyopathies / etiology,  ultrasonography*
Echocardiography, Doppler / methods*
Fistula / etiology,  ultrasonography*
Heart Atria
Heart Septum / ultrasonography*
Heart Valve Diseases / complications
Mitral Valve / ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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