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01-03-2011 | Case Report

Left ventricular–right atrial communication by perforation of the atrioventricular portion of the membranous septum and severe aortic valve regurgitation caused by infective endocarditis

Authors: Takahiro Ota, Ryoko Yamaguchi, Takashi Tanigawa, Kenichiro Otuka, Yusuke Hayashi, Hiroyoshi Nishiyama, Takara Tsumori, Kimio Kamimori, Shiro Yanagi, Isao Ishikawa

Published in: Journal of Echocardiography | Issue 1/2011

Abstract

We report the case of acquired left ventricle (LV) to right atrial (RA) communication through an aneurysm of the atrioventricular septum caused by infectious endocarditis. A severe aortic valve regurgitation and destruction of the aortic valve was detected by echocardiography. Transesophageal echocardiography revealed a flail aortic valve with vegetation and abnormal shunt flow from the LV to RA with ruptured aneurysm of the membranous septum. An abscess cavity of the aortic ring was introduced. Because of worsening congestive heart failure, the patient underwent emergency aortic valve replacement and patch closure of the communication of the membranous septum. The patient’s postoperative course was uneventful.

Wasserman SM, Fann JI, Atwood JE, Burdon TA, Fadel BM. Acquired left ventricular–right atrial communication: Gerbode-type defect. Echocardiography. 2002;19:67–72.PubMedCrossRef

Inoue H, Iguro Y, Kinjo T, Matsumoto H, Yotsumoto G, Sakata R. Acquired left ventricular–right atrial communication and severe aortic valve regurgitation caused by infective endocarditis. Thorac Cardiovasc Surg. 2009;57:47–56.CrossRef

Parish LM, Liu L, Woo YJ. Endocarditis with massive aortic root abscess and atrioventricular septal destruction. Interact Cardiovasc Thorac Surg. 2009;8:280–2.PubMedCrossRef

Alphonso N, Dhital K, Chambers J, Shabbo F. Gerbode’s defect resulting from infective endocarditis. Eur J Cardiothorac Surg. 2003;23:844–6.PubMedCrossRef

Nakamura M, Akaishi M, Baba A, Shimada M, Moritani K, Yozu R. A case of echocardiographic evaluation of ruptured pseudoaneurysm of the mitral-aortic intervalvular fibrosa by infective endocarditis. J Echocardiogr. 2009;7:55–7.CrossRef

Elian D, Di Segni E, Kaplinsky E, Mohr R, Vered Z. Acquired left ventricular–right atrial communication caused by infective endocarditis detected by transesophageal echocardiography: case report and review of the literature. J Am Soc Echocardiogr. 1995;8:108–10.PubMedCrossRef

Title: Left ventricular–right atrial communication by perforation of the atrioventricular portion of the membranous septum and severe aortic valve regurgitation caused by infective endocarditis
Authors: Takahiro Ota
Ryoko Yamaguchi
Takashi Tanigawa
Kenichiro Otuka
Yusuke Hayashi
Hiroyoshi Nishiyama
Takara Tsumori
Kimio Kamimori
Shiro Yanagi
Isao Ishikawa
Publication date: 01-03-2011
Publisher: Springer Japan
Published in: Journal of Echocardiography / Issue 1/2011
Print ISSN: 1349-0222
Electronic ISSN: 1880-344X
DOI: https://doi.org/10.1007/s12574-010-0056-7

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Left ventricular–right atrial communication by perforation of the atrioventricular portion of the membranous septum and severe aortic valve regurgitation caused by infective endocarditis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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