AI Summary & Key Takeaways
AI InsightEchocardiogram and cathaterization showed that severe aortic regurgitation, aortopulmonary fistula.We urgently performed the aortic valvereplacement and closure of both side of fistula with the Contegra® patch.Thepatient developed multiorgan failure as a cause of death at postoperative 63.day .
📌 3 Key Takeaways
Abstract
Aortopulmonary fistula associated with endocarditis complicating mechanicalaortic valve replacement has been reported but very limited reports of aortopul- monary fistula following native aortic valve endocarditis in the literature. A 60year old female presented to our hospital with high fever, dyspnea symptoms overtwo days. We suspect the endocarditis that Staphylococcus aureus was isolatedfrom blood cultures. Echocardiogram and cathaterization showed that severe aortic regurgitation, aortopulmonary fistula.We urgently performed the aortic valvereplacement and closure of both side of fistula with the Contegra® patch.Thepatient developed multiorgan failure as a cause of death at postoperative 63.day .
Özet
Aortopulmoner fistül(APF) mekanik aort kapak replasmanından sonra gelişen endokarditlerde sık olarak bildirilmekte iken aort kapak endokarditinden sonra literatürde nadir olarak bulunmaktadır.60 yaşında bayan olgu hastanemize iki gündürdevam eden yüksek ateş,solunum sıkıntısı ile başvurdu.İnfektif endokarditten şüphelenilen hastanın kan kültüründe Staphylococcus aureus üredi. Ekokardiografi veanjiografide ileri aort yetmezliği ve APF görüldü.Hastaya acil olarak aort kapakreplasmanı ve APFün Contegra greft ile kapatılması operasyonu uygulandı.Hastamultiorgan yetmezliği nedeni ile postoperatif 63.gün kaybedildi.