Journal of Cardiothoracic Surgery (Apr 2024)

Repair of a fistula between the aorta and right ventricular outflow tract secondary to infective endocarditis of a unicuspid aortic valve and previously repaired ventricular septal defect

  • Rickesh B. Karsan,
  • Katie E. O’Sullivan,
  • Christopher J. Lockhart,
  • Christopher Austin

DOI
https://doi.org/10.1186/s13019-024-02746-3
Journal volume & issue
Vol. 19, no. 1
pp. 1 – 4

Abstract

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Abstract Background Infective endocarditis of the aortic valve can result in a wide range of destructive pathology beyond the valve leaflets and annulus which require careful surgical planning to provide appropriate debridement and reconstruction. Failure to do so can result in a failure of surgical treatment, recurrent infection and cardiac failure with concomitant high morbidity and mortality. Case report We describe the case of a 45-year-old male with previous patch repair of a ventricular septal defect, who was diagnosed with sub-acute bacterial endocarditis of the native aortic valve and developed a new fistula from the aorta to the right ventricular outflow tract which. This was managed surgically. Conclusion This unique case highlights another spectrum of infective endocarditis with a unique approach to repair and management.

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