1. Ventriculo-atrial defect after bioprosthetic aortic valve replacement.
- Author
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Jainandunsing JS, Bergman R, Wilkens J, Wang A, Michielon G, and Natour E
- Subjects
- Abscess diagnosis, Abscess etiology, Abscess surgery, Aged, Bioprosthesis, Diagnosis, Differential, Echocardiography, Transesophageal, Endocarditis, Bacterial diagnostic imaging, Endocarditis, Bacterial etiology, Endocarditis, Bacterial surgery, Humans, Male, Postoperative Complications etiology, Postoperative Complications surgery, Streptococcal Infections diagnostic imaging, Streptococcal Infections etiology, Streptococcal Infections surgery, Streptococcus agalactiae, Aortic Valve surgery, Endocarditis, Bacterial diagnosis, Heart Atria, Heart Valve Prosthesis adverse effects, Heart Ventricles, Postoperative Complications diagnosis, Streptococcal Infections diagnosis
- Abstract
We present a case of a 71-year-old Caucasian male with a ventriculo-atrial defect due to infective endocarditis, originating from his aortic root near a bioprosthetic aortic valve, implanted 4 years earlier. Ventriculo-atrial defects are rare and can occur after endocarditis with abscess formation, usually in native tissue. We report a ventriculo-atrial defect due to a paravalvular aortic prosthetic defect, secondary to inflammation, a novel third type of a Gerbode defect. Case presentation, clinical decision making and surgical approach are discusses in this report.
- Published
- 2014
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