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Journal of Cardiothoracic Surgery

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Open Access 01-12-2024 | Endocarditis | Case Report

Repair of a fistula between the aorta and right ventricular outflow tract secondary to infective endocarditis of a unicuspid aortic valve and previously repaired ventricular septal defect

Authors: Rickesh B. Karsan, Katie E. O’Sullivan, Christopher J. Lockhart, Christopher Austin

Published in: Journal of Cardiothoracic Surgery | Issue 1/2024

Abstract

Background

Infective endocarditis of the aortic valve can result in a wide range of destructive pathology beyond the valve leaflets and annulus which require careful surgical planning to provide appropriate debridement and reconstruction. Failure to do so can result in a failure of surgical treatment, recurrent infection and cardiac failure with concomitant high morbidity and mortality.

Case report

We describe the case of a 45-year-old male with previous patch repair of a ventricular septal defect, who was diagnosed with sub-acute bacterial endocarditis of the native aortic valve and developed a new fistula from the aorta to the right ventricular outflow tract which. This was managed surgically.

Conclusion

This unique case highlights another spectrum of infective endocarditis with a unique approach to repair and management.

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Title: Repair of a fistula between the aorta and right ventricular outflow tract secondary to infective endocarditis of a unicuspid aortic valve and previously repaired ventricular septal defect
Authors: Rickesh B. Karsan
Katie E. O’Sullivan
Christopher J. Lockhart
Christopher Austin
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Endocarditis
Ventricular Septal Defect
Ventricular Septal Defect
Wound Debridement
Published in: Journal of Cardiothoracic Surgery / Issue 1/2024
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-024-02746-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Repair of a fistula between the aorta and right ventricular outflow tract secondary to infective endocarditis of a unicuspid aortic valve and previously repaired ventricular septal defect

Abstract

Background

Case report

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case report

Conclusion

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