• A&A practice · Jun 2020

    Case Reports

    Aorto-Left Atrial Fistula as Sequela of Endocarditis.

    • Abimbola O Faloye and Mckenzie M Hollon.
    • From the Department of Anesthesiology, Emory University School of Medicine, Grady Memorial Hospital, Atlanta, Georgia.
    • A A Pract. 2020 Jun 1; 14 (8): e01233.

    AbstractAortoatrial fistula formation is a rare complication of bacterial endocarditis. Fistulous tracts may form between the aorta and either atrium. Clinical presentation varies from an insignificant murmur to refractory congestive heart failure. Most clinically relevant fistula manifests with acute and severe symptoms. Transesophageal echocardiography (TEE) is more sensitive than transthoracic echocardiography (TTE) in diagnosing intracardiac shunts, and invaluable in guiding intraoperative surgical repair. Definitive therapy involves closure of the fistula either through an open surgical approach or percutaneously with an occluder device.

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