Advanced Ultrasound in Diagnosis and Therapy ›› 2020, Vol. 4 ›› Issue (1): 18-20.doi: 10.37015/AUDT.2020.190034

• Case Report • Previous Articles     Next Articles

Aorto-Left Ventricle Fistula in Aortic Valve Endocarditis Found to Mimic Valsalva Sinus Aneurysm Rupture into the Left Ventricle: A case study

Li Ji, MDa,b, Yuman Li, MD, PhDa,b, Li Zhang, MD, PhDa,b, Yali Yang, MD, PhDa,b,*(), Mingxing Xie, MD, PhDa,b   

  1. a Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
    b Hubei Key Laboratory of Molecular Imaging, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
  • Received:2019-10-26 Online:2020-03-30 Published:2020-03-23
  • Contact: Yali Yang, MD, PhD, E-mail:chhmao@aliyun.com

Abstract:

Aorto-cardiac fistula (ACF) is a rare condition that is often complicated by perivalvular extension of infective endocarditis. Here we report the case of 43-year-old woman with aorto-left ventricle fistula in aortic valve endocarditis, whose echocardiographic manifestations mimicked a ruptured Valsalva sinus aneurysm. The patient was treated successfully with aortic valve replacement and repair of aorto-left ventricle fistula. Based on this rare case, we analyze the factors of misdiagnosis and offer suggestions to improve the diagnostic accuracy of ACF.

Key words: Aorto-cardiac fistula; Valsalva sinus aneurysm; Echocardiography