Aorto-left Ventricular Fistula with the Unruptured Aneurysm of the Sinus of Valsalva due to the Infective Endocarditis : A Rare Case Report
10.4326/jjcvs.42.30
- VernacularTitle:未破裂のバルサルバ洞動脈瘤に隣接して発症した大動脈左室瘻の1手術例
- Author:
Takuya Higuchi
;
Toshiki Takahashi
;
Hitoshi Suhara
;
Daisuke Yoshioka
- Publication Type:Journal Article
- Keywords:
aorto-left ventricular fistula;
sinus of Valsalva aneurysm;
endocarditis
- From:Japanese Journal of Cardiovascular Surgery
2013;42(1):30-33
- CountryJapan
- Language:Japanese
-
Abstract:
We reported a rare case of aorto-left ventricular fistula with the unruptured aneurysm of the Valsalva sinus due to the infective endocarditis. Preoperatively trans-echocardiographic examination revealed the ruptured left sinus of Valsalva aneurysm protruded toward the left ventricule. Aorto-left ventricular fistula contiguous to the unruptured aneurysm of the right valsalva sinus, however, was detected at operation. Granulation tissue resembling healed infective vegetation was detected in the margin among the orifices of this fistula and Valsalva aneurysm. Pathological examination showed excessive accumulation of white blood cells, which suggested infective endocarditis.
