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[A double fistulous communication between the aortic root and both left cardiac chambers. Its diagnosis by multiplanar transesophageal echocardiography].

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.
AuthorsM Ribas Garau, G J Pons Lladó, J F Forteza Albertí, A Berna Martínez, A Merino Otermín, J O Bonnín Gubianas, R Barril Baixeras
JournalRevista espanola de cardiologia (Rev Esp Cardiol) Vol. 52 Issue 2 Pg. 145-7 (Feb 1999) ISSN: 0300-8932 [Print] Spain
Vernacular TitleDoble trayecto fistuloso entre la raíz aórtica y ambas cavidades cardíacas izquierdas. Diagnóstico mediante ecocardiografía transesofágica multiplanar.
PMID10073100 (Publication Type: Case Reports, Journal Article, Review)
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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