Percutaneous closure of complex paravalvular aortic root pseudoaneurysm and aorta-cavitary fistulas
Native aortic valve or its prosthetic valve endocarditis can extend to the adjacent periannular areas and erode into nearby cardiac chambers, leading to pseudoaneurysm and aorta-cavitary fistulas respectively. The later usually leads to acute cardiac failure and hemodynamic instability requiring an...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2014-05-01
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| Series: | Indian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483214001291 |
| _version_ | 1819171885950173184 |
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| author | Salim Al-Maskari Prashanth Panduranga Abdullah Al-Farqani Eapen Thomas John Velliath |
| author_facet | Salim Al-Maskari Prashanth Panduranga Abdullah Al-Farqani Eapen Thomas John Velliath |
| author_sort | Salim Al-Maskari |
| collection | DOAJ |
| description | Native aortic valve or its prosthetic valve endocarditis can extend to the adjacent periannular areas and erode into nearby cardiac chambers, leading to pseudoaneurysm and aorta-cavitary fistulas respectively. The later usually leads to acute cardiac failure and hemodynamic instability requiring an urgent surgical intervention. However rarely this might pass unnoticed and the patient might present later with cardiac murmur. Percutaneous device closure of aortic pseudoaneurysm, ruptured sinus of Valsalva aneurysm, aorta-pulmonary window, paravalvular leaks, and aorta-cavitary fistula have been reported. We present a 59-year-old female who developed a large aortic root pseudoaneurysm with biventricular communication aorta-cavitary fistulas presenting late following aortic prosthetic valve endocarditis. She underwent successful percutaneous device closure of her pseudoaneurysm and aorta-cavitary fistulas using two Amplatzer Duct Occluders. This case illustrates a challenging combination of aortic root pseudoaneurysm and biventricular aorta-cavitary fistulas that was successfully treated with percutaneous procedure. |
| first_indexed | 2024-12-22T19:58:24Z |
| format | Article |
| id | doaj.art-ad44cd43c7634c538ce03ae4b4c448e7 |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-12-22T19:58:24Z |
| publishDate | 2014-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-ad44cd43c7634c538ce03ae4b4c448e72022-12-21T18:14:21ZengElsevierIndian Heart Journal0019-48322014-05-0166335836210.1016/j.ihj.2014.03.015Percutaneous closure of complex paravalvular aortic root pseudoaneurysm and aorta-cavitary fistulasSalim Al-Maskari0Prashanth Panduranga1Abdullah Al-Farqani2Eapen Thomas3John Velliath4Senior Consultant, Department of Pediatric Cardiology, Royal Hospital, Muscat 111, OmanSenior Specialist, Department of Adult Congenital Heart Disease, Royal Hospital, Muscat 111, OmanSenior Consultant, Department of Pediatric Cardiology, Royal Hospital, Muscat 111, OmanSenior Consultant, Department of Pediatric Cardiology, Royal Hospital, Muscat 111, OmanSenior Consultant, Department of Cardiovascular Surgery, Royal Hospital, Muscat 111, OmanNative aortic valve or its prosthetic valve endocarditis can extend to the adjacent periannular areas and erode into nearby cardiac chambers, leading to pseudoaneurysm and aorta-cavitary fistulas respectively. The later usually leads to acute cardiac failure and hemodynamic instability requiring an urgent surgical intervention. However rarely this might pass unnoticed and the patient might present later with cardiac murmur. Percutaneous device closure of aortic pseudoaneurysm, ruptured sinus of Valsalva aneurysm, aorta-pulmonary window, paravalvular leaks, and aorta-cavitary fistula have been reported. We present a 59-year-old female who developed a large aortic root pseudoaneurysm with biventricular communication aorta-cavitary fistulas presenting late following aortic prosthetic valve endocarditis. She underwent successful percutaneous device closure of her pseudoaneurysm and aorta-cavitary fistulas using two Amplatzer Duct Occluders. This case illustrates a challenging combination of aortic root pseudoaneurysm and biventricular aorta-cavitary fistulas that was successfully treated with percutaneous procedure.http://www.sciencedirect.com/science/article/pii/S0019483214001291PseudoaneurysmAorta-cavitary fistulaDevice closureEndocarditis |
| spellingShingle | Salim Al-Maskari Prashanth Panduranga Abdullah Al-Farqani Eapen Thomas John Velliath Percutaneous closure of complex paravalvular aortic root pseudoaneurysm and aorta-cavitary fistulas Indian Heart Journal Pseudoaneurysm Aorta-cavitary fistula Device closure Endocarditis |
| title | Percutaneous closure of complex paravalvular aortic root pseudoaneurysm and aorta-cavitary fistulas |
| title_full | Percutaneous closure of complex paravalvular aortic root pseudoaneurysm and aorta-cavitary fistulas |
| title_fullStr | Percutaneous closure of complex paravalvular aortic root pseudoaneurysm and aorta-cavitary fistulas |
| title_full_unstemmed | Percutaneous closure of complex paravalvular aortic root pseudoaneurysm and aorta-cavitary fistulas |
| title_short | Percutaneous closure of complex paravalvular aortic root pseudoaneurysm and aorta-cavitary fistulas |
| title_sort | percutaneous closure of complex paravalvular aortic root pseudoaneurysm and aorta cavitary fistulas |
| topic | Pseudoaneurysm Aorta-cavitary fistula Device closure Endocarditis |
| url | http://www.sciencedirect.com/science/article/pii/S0019483214001291 |
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