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European Journal of Echocardiography 2007 8(4):296-298; doi:10.1016/j.euje.2006.03.013
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Copyright © 2006, The European Society of Cardiology

Mitral valve ring dehiscence with an aorta–left atrial fistula

Davinder S. Jassala,*, Tomas G. Neilana, Umaima Fatimab, Godtfred Holmvangb, Arvind Agnihotric, Igor Palaciosd and Danita M. Yoergera

aCardiac Ultrasound Laboratory, Cardiology Division, Massachusetts General Hospital, VBK-508, 55 Fruit Street, Boston, MA 02114, USA
bCardiac MRI, Department of Radiology, Massachusetts General Hospital, Boston, MA, USA
cCardiac Surgery Division, Massachusetts General Hospital, Boston, MA, USA
dCardiac Catheterization Laboratory, Cardiology Division, Massachusetts General Hospital, Boston, MA, USA

Received 27 October 2005; received in revised form 20 March 2006; accepted after revision 22 March 2006.

* Corresponding author. Tel.: +1 617 726 8871; fax: +1 617 726 8383. djassal{at}partners.org


  Abstract

In an era with the increasing use of various imaging modalities including echocardiography, ventriculography and cardiac magnetic resonance (CMR) imaging, one must be aware of the limitations of each discipline. We report a case of an individual who presented with both a partial dehiscence of a mitral valve annuloplasty ring and an aorta–left atrium fistula following surgical management of infective endocarditis that was correctly identified using transesophageal echocardiographic imaging.

Keywords: Mitral valve repair; Mitral regurgitation; Transesophageal echocardiography; Cardiac magnetic resonance imaging


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