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

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 Valsa...

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Veröffentlicht in:Advanced ultrasound in diagnosis and therapy 2020-03, Vol.4 (1), p.18-20
Hauptverfasser: Li, Ji, MD, Yuman, Li, MD, PhD, Li, Zhang, MD, PhD, Yali, Yang, MD, PhD, Mingxing, Xie, MD, PhD
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Sprache:eng
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Zusammenfassung: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.
ISSN:2576-2516
DOI:10.37015/AUDT.2020.190034