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European Journal of Echocardiography Advance Access originally published online on March 27, 2008
European Journal of Echocardiography 2008 9(3):419-421; doi:10.1093/ejechocard/jen025
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Aorta-atrial fistula, a rare complication of prosthetic valve endocarditis

W. Dewilde*, M. Kurvers and W. Jaarsma

Department of Cardiology, Sint Antonius Hospital Nieuwegein, Koekoekslaan 1, 3435 CM Nieuwegein, The Netherlands

Received 20 November 2007; accepted after revision 4 December 2007; online publish-ahead-of-print 27 March 2008.

* Corresponding author. Tel: +31 6099111; fax: +31 6092274. E-mail address: willemdewilde{at}yahoo.com


  Abstract

A 51-year-old male with a history of a mechanical Carbomedics aortic and mitral valve replacement in 2003 and several re-operations because of endocarditis of the mitral valve in 2007 presented with heart failure 68 days after operation. Echocardiography confirmed the presence of a fistulous connection between the aorta and the left atrium. Because of the multiple surgical interventions and high operative risk, an initial conservative medical treatment was initiated and the clinical course was uneventful to this date.

Keywords: Heart failure; Aortic fistula; Aorto-atrial fistula; Endocarditis; Prosthetic heart valve


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