Dodul Cristina, Sarpe Paduraru Ana-Maria, Nechita Luiza, Boghean Andreea, Gutu Cristian, Ursu Maria
Faculty of Medicine and Pharmacy, "Dunarea de Jos" University of Galati, Galati, Romania.
Cardiology Department, "Sf. Apostol Andrei" Emergency County Clinical Hospital, Galati, Romania.
Eur J Case Rep Intern Med. 2024 Sep 19;11(10):004806. doi: 10.12890/2024_004806. eCollection 2024.
Aorto-atrial fistula (AAF) and aorto-ventricular fistula (AVF) are a rare, but potentially life-threatening condition, where an anomalous connection forms between the aortic structures and the cardiac atria or ventricles. The exact incidence of this condition is unknown, as are the major precipitating factors and best treatment options. It may be congenital, secondary to conditions such as aortic dissection, infective endocarditis, or valve replacement, or iatrogenic in nature. In the case reported here a 72-year-old male who was found to have an infective endocarditis complicated by right AAF and AVF. This case illustrates the important role of transesophageal echocardiography in the evaluation of a patient with subacute infective endocarditis with a very rare complication.
Aortic fistulas are a rare, potentially fatal, complications of subacute infective endocarditis.Early recognition is greatly assisted by transesophageal echocardiography.
主动脉-心房瘘（AAF）和主动脉-心室瘘（AVF）是一种罕见但可能危及生命的疾病，其特征是在主动脉结构与心脏心房或心室之间形成异常连接。这种疾病的确切发病率尚不清楚，主要诱发因素和最佳治疗方案也不明确。它可能是先天性的，继发于主动脉夹层、感染性心内膜炎或瓣膜置换等疾病，也可能是医源性的。在本文报道的病例中，一名72岁男性被发现患有感染性心内膜炎，并伴有右心房主动脉瘘和主动脉-心室瘘。该病例说明了经食管超声心动图在评估患有非常罕见并发症的亚急性感染性心内膜炎患者中的重要作用。
主动脉瘘是亚急性感染性心内膜炎罕见的、潜在致命的并发症。经食管超声心动图极大地有助于早期识别。
