Aorto-left ventricular fistula in infective endocarditis: Role of clinical imaging in a series of two cases

Aortic valve endocarditis sometimes extends to peri-annular tissue causing annular abscess, aortico-cavitory fistula, and heart failure. Dedicated clinical imaging with transesophageal echocardiography and cardiac computed tomographic angiogram is very helpful for diagnosis of valvular endocarditis and its complications. The utility of optimum imaging discussed in a series of two adult patients who developed aortico left ventricular fistula in native aortic valve endocarditis.