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

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.

Key words: aortic valve replacement, pseudoaneurysm, aorto-right ventricle outflow tract fistula

Corresponding author: Dr. Ibrahim Halil INANC. E-mail: dr.ibrahimhalilinanc@outlook.com

ORCID: https://orcid.org/0000-0003-4046-6748

 

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Volume 5, Number 59 (2020)