Thorac Cardiovasc Surg 2009; 57(7): 421-422
DOI: 10.1055/s-2008-1039055
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Left Ventricle to Left Atrium Shunt via a Paravalvular Abscess

H. Gasparovic1 , A. Smalcelj2 , M. Brida2
  • 1Department of Cardiac Surgery, University Hospital Rebro Zagreb, Zagreb, Croatia
  • 2Department of Cardiology, University Hospital Rebro Zagreb, Zagreb, Croatia
Further Information

Publication History

received July 28, 2008

Publication Date:
30 September 2009 (online)

Abstract

Intracardiac fistulas are rare complications of infective endocarditis that contribute to the complexity of surgical management, and impose an additional hemodynamic burden on the already challenged heart. We report on a case of successful surgical management of a paravalvular communication between the left ventricle and the left atrium via an abscess cavity.

References

  • 1 Moreillon P, Que Y A. Infective endocarditis.  Lancet. 2004;  363 139-149
  • 2 David T E, Gavra G, Feindel C M, Regesta T, Armstrong S, Maganti M D. Surgical treatment of active infective endocarditis: a continued challenge.  J Thorac Cardiovasc Surg. 2007;  133 144-149
  • 3 Feringa H H, Shaw L J, Poldermans D et al. Mitral valve repair and replacement in endocarditis: a systematic review of literature.  Ann Thorac Surg. 2007;  83 564-570
  • 4 David T E, Regesta T, Gavra G, Armstrong S, Maganti M D. Surgical treatment of paravalvular abscess: long-term results.  Eur J Cardiothorac Surg. 2007;  31 43-48
  • 5 Remadi J P, Habib G, Nadji G et al. Predictors of death and impact of surgery in Staphylococcus aureus infective endocarditis.  Ann Thorac Surg. 2007;  83 1295-1302

Dr. MD, PhD Hrvoje Gasparovic

University Hospital Rebro Zagreb
Department of Cardiac Surgery

Kispaticeva 12

10 000 Zagreb

Croatia

Phone: + 38 5 12 42 15 95

Fax: + 38 5 12 42 15 95

Email: hgasparovic@kbc-zagreb.hr

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