Abstract |
The case of a patient with mitral and aortic mechanical valve prostheses is presented who developed early postoperative infective endocarditis and, subsequently, a fistulous communication between the posterior aortic sinus and both the left atrium and the left ventricle. A diastolic murmur of apparent aortic prosthesis regurgitation was heard, although an abnormal aortic valve function could not be demonstrated in the transthoracic echocardiographic study. Instead, the presence of a systolic high velocity flow by continuous wave Doppler suggested prosthetic mitral leakage. The clinical presentation of progressive congestive heart failure and pulmonary hypertension by Doppler prompted a further study by means of transesophageal echocardiography with multiplanar probe showing the above mentioned double fistulous communication. The diagnosis was later confirmed by angiography and also at surgery.
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Authors | M Ribas Garau, G J Pons Lladó, J F Forteza Albertí, A Berna Martínez, A Merino Otermín, J O Bonnín Gubianas, R Barril Baixeras |
Journal | Revista espanola de cardiologia
(Rev Esp Cardiol)
Vol. 52
Issue 2
Pg. 145-7
(Feb 1999)
ISSN: 0300-8932 [Print] Spain |
Vernacular Title | Doble trayecto fistuloso entre la raíz aórtica y ambas cavidades cardíacas izquierdas. Diagnóstico mediante ecocardiografía transesofágica multiplanar. |
PMID | 10073100
(Publication Type: Case Reports, Journal Article, Review)
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Topics |
- Aged
- Aortic Diseases
(diagnostic imaging, etiology, surgery)
- Echocardiography, Transesophageal
(methods)
- Endocarditis, Bacterial
(complications)
- Female
- Fistula
(diagnostic imaging, etiology, surgery)
- Heart Atria
(diagnostic imaging, surgery)
- Heart Diseases
(diagnostic imaging, etiology, surgery)
- Heart Ventricles
(diagnostic imaging, surgery)
- Humans
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