Does intervention always essential for aorto-right ventricular outflow tract fistula after surgical aortic valve replacement? : A case report

Ibrahim Halil Inanc 1 *
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1 Department of Cardiology, Besni State Hospital, Adiyaman, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 5, Issue 59, pp. 54-56. https://doi.org/10.23950/1812-2892-JCMK-00805
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ABSTRACT

Surgical aortic valve replacement is an effective treatment for symptomatic severe aortic stenosis in patients with low-intermediate operative risk. Prosthetic valve endocarditis is a complication after aortic valve replacement and accounts for 20% of infective endocarditis. Prosthetic valve endocarditis sometimes complicates with abscess formation, pseudoaneurysm and aorto-cardiac fistula. Although severity of symptoms mostly depend on shunt’s size, aorto-cardiac fistula has high mortality rate despite aggressive surgical and percutaneous intervention. Rarely, small shunts can be tolerated.
We describe a case of aorto-right ventricle outflow tract fistula presented with signs and symptoms of congestive heart failure and remained asymptomatic under medical therapy.
Keywords: aortic valve replacement, pseudoaneurysm, aorto-right ventricle outflow tract fistula

CITATION

Inanc IH. Does intervention always essential for aorto-right ventricular outflow tract fistula after surgical aortic valve replacement? : A case report. J Clin Med Kaz. 2020;5(59):54-6. https://doi.org/10.23950/1812-2892-JCMK-00805

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