Aortic Root Abscess with Aorta to Right Atrium Fistula due to Vancomycin-Intermediate Staphylococcus aureus (VISA)

We present a case of root abscess with aorta to right atrium fistula due to vancomycin-intermediate Staphylococcus aureus (VISA) after limb amputation and cardiac surgery. Patient underwent redo aortic valve replacement, patch repair of aorta to right atrial fistula, and tricuspid valve repair with...

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Main Authors: Stephen J. Hankinson, Elliot A. Sultanik, Gautam V. Ramani
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/3627063
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author Stephen J. Hankinson
Elliot A. Sultanik
Gautam V. Ramani
author_facet Stephen J. Hankinson
Elliot A. Sultanik
Gautam V. Ramani
author_sort Stephen J. Hankinson
collection DOAJ
description We present a case of root abscess with aorta to right atrium fistula due to vancomycin-intermediate Staphylococcus aureus (VISA) after limb amputation and cardiac surgery. Patient underwent redo aortic valve replacement, patch repair of aorta to right atrial fistula, and tricuspid valve repair with a ring. Fistula formation is a rare complication of prosthetic valve endocarditis (PVE). This is the first case to discuss aortocavitary fistula (ACF) formation due to VISA. Transesophageal echocardiogram (TEE) is the preferred imaging modality to diagnose ACF.
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institution Kabale University
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series Case Reports in Cardiology
spelling doaj-art-a63cafede25a444b8cdc88c38189c2142025-02-03T01:21:15ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/36270633627063Aortic Root Abscess with Aorta to Right Atrium Fistula due to Vancomycin-Intermediate Staphylococcus aureus (VISA)Stephen J. Hankinson0Elliot A. Sultanik1Gautam V. Ramani2Department of Medicine, Division of Cardiovascular Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21201, USADepartment of Medicine, Division of Cardiovascular Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21201, USADepartment of Medicine, Division of Cardiovascular Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21201, USAWe present a case of root abscess with aorta to right atrium fistula due to vancomycin-intermediate Staphylococcus aureus (VISA) after limb amputation and cardiac surgery. Patient underwent redo aortic valve replacement, patch repair of aorta to right atrial fistula, and tricuspid valve repair with a ring. Fistula formation is a rare complication of prosthetic valve endocarditis (PVE). This is the first case to discuss aortocavitary fistula (ACF) formation due to VISA. Transesophageal echocardiogram (TEE) is the preferred imaging modality to diagnose ACF.http://dx.doi.org/10.1155/2019/3627063
spellingShingle Stephen J. Hankinson
Elliot A. Sultanik
Gautam V. Ramani
Aortic Root Abscess with Aorta to Right Atrium Fistula due to Vancomycin-Intermediate Staphylococcus aureus (VISA)
Case Reports in Cardiology
title Aortic Root Abscess with Aorta to Right Atrium Fistula due to Vancomycin-Intermediate Staphylococcus aureus (VISA)
title_full Aortic Root Abscess with Aorta to Right Atrium Fistula due to Vancomycin-Intermediate Staphylococcus aureus (VISA)
title_fullStr Aortic Root Abscess with Aorta to Right Atrium Fistula due to Vancomycin-Intermediate Staphylococcus aureus (VISA)
title_full_unstemmed Aortic Root Abscess with Aorta to Right Atrium Fistula due to Vancomycin-Intermediate Staphylococcus aureus (VISA)
title_short Aortic Root Abscess with Aorta to Right Atrium Fistula due to Vancomycin-Intermediate Staphylococcus aureus (VISA)
title_sort aortic root abscess with aorta to right atrium fistula due to vancomycin intermediate staphylococcus aureus visa
url http://dx.doi.org/10.1155/2019/3627063
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