Advanced Ultrasound in Diagnosis and Therapy (Mar 2020)

Aorto-Left Ventricle Fistula in Aortic Valve Endocarditis Found to Mimic Valsalva Sinus Aneurysm Rupture into the Left Ventricle: A case study

  • Li Ji, MD, Yuman Li, MD, PhD, Li Zhang, MD, PhD, Yali Yang, MD, PhD, Mingxing Xie, MD, PhD

DOI
https://doi.org/10.37015/AUDT.2020.190034
Journal volume & issue
Vol. 4, no. 1
pp. 18 – 20

Abstract

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Aorto-cardiac fistula (ACF) is a rare condition that is often complicated by perivalvular extension of infective endocarditis. Here we report the case of 43-year-old woman with aorto-left ventricle fistula in aortic valve endocarditis, whose echocardiographic manifestations mimicked a ruptured Valsalva sinus aneurysm. The patient was treated successfully with aortic valve replacement and repair of aorto-left ventricle fistula. Based on this rare case, we analyze the factors of misdiagnosis and offer suggestions to improve the diagnostic accuracy of ACF.

Keywords