ADVANCED ULTRASOUND IN DIAGNOSIS AND THERAPY >

2020 , Vol. 4 >Issue 1: 18 - 20

DOI: https://doi.org/10.37015/AUDT.2020.190034

Case Report

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

  • Ji, MD Li ,
  • Li, MD, PhD Yuman ,
  • Zhang, MD, PhD Li ,
  • Yang, MD, PhD Yali ,
  • Xie, MD, PhD Mingxing
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  • 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 date: 2019-10-26

  Online published: 2020-03-23

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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

Cite this article

Ji, MD Li , Li, MD, PhD Yuman , Zhang, MD, PhD Li , Yang, MD, PhD Yali , Xie, MD, PhD Mingxing . Aorto-Left Ventricle Fistula in Aortic Valve Endocarditis Found to Mimic Valsalva Sinus Aneurysm Rupture into the Left Ventricle: A case study[J]. ADVANCED ULTRASOUND IN DIAGNOSIS AND THERAPY, 2020 , 4(1) : 18 -20 . DOI: 10.37015/AUDT.2020.190034

References

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[3] Habib G, Hoen B, Tornos P, Thuny F, Prendergast B, Vilacosta I, et al. Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and the International Society of Chemotherapy (ISC) for Infection and Cancer. Eur Heart J 2009; 30:2369-413.
[4] Cheng TO, Yang YL, Xie MX, Wang XF, Dong NG, Su W, et al. Echocardiographic diagnosis of sinus of Valsalva aneurysm: a 17-year (1995-2012) experience of 212 surgically treated patients from one single medical center in China. Int J Cardiol 2014; 173:33-9.
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