The Rupture of Periaortic Infective Aneurysm into the Left Atrium and the Left Ventricular Outflow Tract: Preoperative Diagnosis by Transthoracic Echocardiography

We present a rare complication of infective endocarditis, perforated periaortic abscess with fistulous communication between the aortic root, the left atrium, and the left ventricular outflow tract. Preoperative transthoracic echocardiographic diagnosis was confirmed intraoperatively. The patient wa...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2002-04, Vol.19 (3), p.173-176
Main Authors: Lastowiecka, Ewa, Biederman, Andrzej, Szajewski, Tomasz, Rydlewska-Sadowska, Wanda
Format: Article
Language:English
Subjects:
Adult
Aortic Rupture - diagnostic imaging
Aortic Rupture - etiology
Aortic Rupture - surgery
Echocardiography
Endocarditis, Bacterial - complications
Endocarditis, Bacterial - diagnostic imaging
Endocarditis, Bacterial - surgery
Heart Atria - diagnostic imaging
Heart Atria - physiopathology
Heart Atria - surgery
Heart Ventricles - diagnostic imaging
Heart Ventricles - physiopathology
Heart Ventricles - surgery
Humans
infective endocarditis
Male
perforated aneurysm
periaortic abscess
Preoperative Care
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Summary:We present a rare complication of infective endocarditis, perforated periaortic abscess with fistulous communication between the aortic root, the left atrium, and the left ventricular outflow tract. Preoperative transthoracic echocardiographic diagnosis was confirmed intraoperatively. The patient was treated successfully by aortic homograft implantation.
ISSN:0742-2822
1540-8175
DOI:10.1046/j.1540-8175.2002.00173.x