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

期刊论文
出版模式：

开放获取
发表日期：

2024年4月16日

查看全文

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

摘要

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.