Korean Circ J.  2020 Oct;50(10):957-959. 10.4070/kcj.2020.0126.

Complex Aortic Root Abscess with Fistula Formation to Right Atrium and Ventricle

• Agasthi P
• Shipman J
• DeValeria P
• Mookadam F
• Arsanjani R

• KMID: 2507016
• DOI: http://doi.org/10.4070/kcj.2020.0126

Figure

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  Figure 1 TTE in parasternal short axis illustrating aortic valve during diastole (A) and systole (B, asterix). TEE demonstrating aortic quadricusp valve (C, asterix). TTE in parasternal short axis demonstrating a mobile echo-density on the tricuspid valve suggestive of a vegetation (D, arrow). TEE image showing severe aortic regurgitation and valvular defect consistent with right ventricular fistula formation (E and F, arrows). TEE demonstrating right ventricular fistula with multiple jets from aortic root (G, arrows).TEE = transesophageal echocardiogram; TTE = transthoracic echocardiogram.

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  Figure 2 TEE short axis view of aortic valve demonstrating large abscess with fistula formation (A, arrow). TEE short axis view illustrating fistula formation into right ventricle (B, arrow). The gross anatomy specimen of the aortic root with evidence of multiple fistulas (C, arrows).TEE = transesophageal echocardiogram.

Reference

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