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
- Resource Type
- article
- Authors
- Rickesh B. Karsan; Katie E. O’Sullivan; Christopher J. Lockhart; Christopher Austin
- Source
- Journal of Cardiothoracic Surgery, Vol 19, Iss 1, Pp 1-4 (2024)
- Subject
- Infective endocarditis
Congenital heart disease
Fistula
Surgery
RD1-811
Anesthesiology
RD78.3-87.3
- Language
- English
- ISSN
- 1749-8090
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.