Herein, we report successful device closure of aorto-right ventricular tunnel (ARVT) in a 2 year-old-boy presenting with recurrent respiratory tract infection and poor weight gain. He was initially diagnosed with coronary arteriovenous fistula after the clinical examination and echocardiogram. However, his cardiac catheterization revealed ARVT. Although most of the aorto-ventricular tunnels are managed by surgical intervention, we successfully managed our case with transcatheter intervention.
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http://dx.doi.org/10.4103/apc.apc_108_21 | DOI Listing |
JACC Case Rep
November 2024
Department of Interventional and Structural Cardiology, Sidney Kimmel Medical College at Thomas Jefferson University, Deborah Heart and Lung Center, Philadelphia, Pennsylvania, USA.
This clinical case series reviews the diagnosis and management of aorto-right ventricular fistulas post-transcatheter aortic valve replacement, highlighting 3 cases. We emphasize early detection, individualized treatment strategies, and the role of multidisciplinary heart teams in achieving favorable outcomes. Comprehensive imaging and procedural planning are crucial for successful intervention and management of this rare complication.
View Article and Find Full Text PDFEur J Case Rep Intern Med
September 2024
Faculty of Medicine and Pharmacy, "Dunarea de Jos" University of Galati, Galati, Romania.
Unlabelled: 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.
View Article and Find Full Text PDFJACC Case Rep
January 2024
University of Central Florida/HCA Healthcare GME, Greater Orlando, Florida, USA.
A 59-year-old man with a history of severe aortic stenosis with transcatheter aortic valve replacement (TAVR) presented with worsening heart failure. Echocardiography showed a fistula between the aorta and the right ventricle with mild to moderate paravalvular regurgitation. He underwent a valve-in-valve TAVR with symptomatic improvement and decreased flow through the fistula.
View Article and Find Full Text PDFTurk Kardiyol Dern Ars
January 2024
Department of Cardiology, Atatürk University, Erzurum, Türkiye.
Rupture of a sinus of valsalva aneurysm (SVA) and the development of an aorto-right ventricular fistula (ARVF) is a rare condition, associated with high morbidity and mortality rates if left untreated. Opening of the SVA rupture into the right heart chambers may result in various morbidities, such as pulmonary hypertension. We present a case of a patient who developed ARVF following sutureless aortic valve replacement, and was subsequently treated successfully via a percutaneous approach.
View Article and Find Full Text PDFBMJ Case Rep
October 2023
Cardiology, Iowa Heart Center West Des Moines, West Des Moines, Iowa, USA.
Infective endocarditis caused by in patients without a history of intravenous drug abuse and endovascular procedures is rare. We present a middle-aged man with fever, chills, night sweats and dyspnoea for 2 weeks. Physical examination and blood cultures were drawn, and the patient was empirically started on antibiotics.
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