A Case of Left Ventricular-Right Atrial Communication Resulting from Infective Endocarditis
10.4326/jjcvs.44.50
- VernacularTitle:左室右房交通症を伴った大動脈弁位感染性心内膜炎の1例
- Author:
Daisuke Mori
;
Dai Araki
;
Yutaka Makino
;
Tatsuya Murakami
- Publication Type:Journal Article
- Keywords:
left ventricular-right atrial communication;
infective endocarditis;
patch closure
- From:Japanese Journal of Cardiovascular Surgery
2015;44(1):50-52
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of surgical repair of acquired left ventricular-right atrial communication resulting from infective endocarditis. A 70-year-old man with aortic regurgitation due to infective endocarditis was referred to our hospital because of congestive heart failure. Preoperative transthoracic echocardiography showed severe aortic regurgitation and left ventricular-right atrial shunt flow. He underwent surgery following intensive antibiotic therapy. The fistula was located at the atrioventricular membranous septum. The communication site from the left ventricular view it was below the commissure between the left and the non-coronary cusps, and from the right atrial view it was above the tricuspid annulus of the septal leaflet. The fistula was closed with autologous pericardial patch from the aortotomy and a mattress suture from the right atriotomy. Aortic valve replacement was performed simultaneously. The postoperative course was uneventful. He was in sinus rhythm all the time. It is important to discuss surgical procedure preoperatively with precise echocardiographic examination.
