Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis

Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis

Paravalvular aortic root abscess with intracardiac fistula formation is an exceedingly rare complication of infective endocarditis. This condition is even more rarely encountered in patients with bioprosthetic valve endocarditis. We report an unusual case of a 68-year-old Bosnian female with a biopr...

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Main Authors: Abhinav Agrawal, Martin Miguel Amor, Deepa Iyer, Manan Parikh, Marc Cohen
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2015/473246
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spelling doaj-e8b0394d51654ed594791b720e2f7d0e2020-11-24T20:40:16ZengHindawi LimitedCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/473246473246Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalisAbhinav Agrawal0Martin Miguel Amor1Deepa Iyer2Manan Parikh3Marc Cohen4Department of Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USADepartment of Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USADepartment of Cardiology, Robert Wood Johnson University Hospital, New Brunswick, NJ 08901, USADepartment of Medicine, Monmouth Medical Center, Long Branch, NJ 07740, USADepartment of Cardiology, Newark Beth Israel Medical Center, Newark, NJ 07712, USAParavalvular aortic root abscess with intracardiac fistula formation is an exceedingly rare complication of infective endocarditis. This condition is even more rarely encountered in patients with bioprosthetic valve endocarditis. We report an unusual case of a 68-year-old Bosnian female with a bioprosthetic aortic valve, who developed an extensive aortic root abscess, complicated by an aortico-left atrial intracardiac fistula. This case illustrates that a high index of suspicion, prompt diagnosis by echocardiography, proper antibiotic therapy, and early surgical intervention are crucial to improving treatment outcomes for this rare condition.http://dx.doi.org/10.1155/2015/473246
collection DOAJ
language English
format Article
sources DOAJ
author Abhinav Agrawal
Martin Miguel Amor
Deepa Iyer
Manan Parikh
Marc Cohen
spellingShingle Abhinav Agrawal
Martin Miguel Amor
Deepa Iyer
Manan Parikh
Marc Cohen
Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis
Case Reports in Cardiology
author_facet Abhinav Agrawal
Martin Miguel Amor
Deepa Iyer
Manan Parikh
Marc Cohen
author_sort Abhinav Agrawal
title Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis
title_short Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis
title_full Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis
title_fullStr Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis
title_full_unstemmed Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis
title_sort aortico-left atrial fistula: a rare complication of bioprosthetic aortic valve endocarditis secondary to enterococcus faecalis
publisher Hindawi Limited
series Case Reports in Cardiology
issn 2090-6404
2090-6412
publishDate 2015-01-01
description Paravalvular aortic root abscess with intracardiac fistula formation is an exceedingly rare complication of infective endocarditis. This condition is even more rarely encountered in patients with bioprosthetic valve endocarditis. We report an unusual case of a 68-year-old Bosnian female with a bioprosthetic aortic valve, who developed an extensive aortic root abscess, complicated by an aortico-left atrial intracardiac fistula. This case illustrates that a high index of suspicion, prompt diagnosis by echocardiography, proper antibiotic therapy, and early surgical intervention are crucial to improving treatment outcomes for this rare condition.
url http://dx.doi.org/10.1155/2015/473246
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AT martinmiguelamor aorticoleftatrialfistulaararecomplicationofbioprostheticaorticvalveendocarditissecondarytoenterococcusfaecalis
AT deepaiyer aorticoleftatrialfistulaararecomplicationofbioprostheticaorticvalveendocarditissecondarytoenterococcusfaecalis
AT mananparikh aorticoleftatrialfistulaararecomplicationofbioprostheticaorticvalveendocarditissecondarytoenterococcusfaecalis
AT marccohen aorticoleftatrialfistulaararecomplicationofbioprostheticaorticvalveendocarditissecondarytoenterococcusfaecalis
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