Authors

E. S. John; J. Boyer; B. Ledzian; H. Steward; R. Moro;H. B. Bittner

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Abbreviated Journal Title

J. Cardiothorac. Surg.

Keywords

Aorto-atrial fistula; Staphylococcus aureus endocarditis; Prosthesis; mismatch; Effective orifice area; Cardiac & Cardiovascular Systems

Abstract

Sinus of Valsalva-right atrial fistulas are abnormal connections between the aorta and the right atrium, and present challenging surgical conditions. An extremely rare etiology of aorto-right atrial fistula is infective endocarditis. This case report presents a 21 year old Caucasian female patient who had native aortic valve Staphylococcus aureus endocarditis complicated by sinus of Valsalva abscess perforation associated with an acute heart block, an aorto-right atrial fistula, severe heart failure, and cardiogenic shock. She underwent emergent aortic valve replacement and complex sinus of Valsalva fistula pericardial patch reconstruction and repair. This case report further explores the advantages and disadvantages of different valves for different patient populations, and evaluates the patient's prosthesis mismatch and effective orifice area.

Journal Title

Journal of Cardiothoracic Surgery

Volume

9

Publication Date

1-1-2014

Document Type

Article

Language

English

First Page

5

WOS Identifier

WOS:000339283100001

ISSN

1749-8090

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