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Echocardiographic Evolution of Prosthetic Aortic Valve Endocarditis With Aorto-Left Atrial Fistula Formation
Journal of The American Society of Echocardiography, 02/13/09

Patsouras D et al. - This report describes an 84-year-old patient with staphylococcal aortic PVE. Although paravalvular involvement was diagnosed early, clinical features associated with high operative mortality precluded surgical treatment. Unexpectedly, abscess drainage with aorto–left atrial fistula formation led to the remission of fever and clinical stabilization. Moreover, the echocardiographic evolution of infective endocarditis is described, from the initial lesion (vegetation) through abscess formation to partial valve dehiscence, abscess drainage, and aorto–left atrial fistula formation, by means of transesophageal echocardiography.

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