Aorto-right atrial fistula: Late complication of tricuspid valve infective endocarditis

查看全文 作　　者：Pedro A [1]Villablanca;Shashvat [1]Sukhal;Oscar [1]Maitas;Afiachuukwu [1]Onuegbu;Juan M Muoz-Pe[1]a;Ajay [1]Joseph;Carlos [1]Requena;Divyanshu [1]Mohananey 机构地区：[1]Department of InternalMedicine, John H. Stroger, Jr. Hospital of Cook County, Chicago,IL 60612, United States 出　　处：《World Journal of Cardiology》索引2014年第6卷第10期,共5页 摘　　要：Abnormal connections between the ascending aortaand the cardiac chambers are rare, especially in thecontext of right-sided infective endocarditis(IE). Trans-thoracic echocardiography(TTE) with color-flow Dop-pler, transesophageal echocardiography(TEE), or bothmay be required for diagnosis. We present the case ofa woman admitted with right-sided heart failure(HF)symptoms. She had a previous history of tricuspid valveIE 30 years ago. TTE and TEE revealed an aorto-rightatrium fistula located just under the non-coronary cuspinto the right atrium at the level of the previously af-fected tricuspid valve. The Patient refused surgery andwas discharged home on HF medications. She has beenstable for the last 3 years. The peculiarity of this caseis the late symptomatic presentation of the aorto-atrialfistula and the unusual association to tricuspid valve IE. 关 键 词：Aorto-cardiac FISTULA INFECTIVE ENDOCARDITIS TRICUSPID valve