Skip to main content
Log in

Left ventricular–right atrial communication by perforation of the atrioventricular portion of the membranous septum and severe aortic valve regurgitation caused by infective endocarditis

  • Case Report
  • Published:
Journal of Echocardiography Aims and scope Submit manuscript

Abstract

We report the case of acquired left ventricle (LV) to right atrial (RA) communication through an aneurysm of the atrioventricular septum caused by infectious endocarditis. A severe aortic valve regurgitation and destruction of the aortic valve was detected by echocardiography. Transesophageal echocardiography revealed a flail aortic valve with vegetation and abnormal shunt flow from the LV to RA with ruptured aneurysm of the membranous septum. An abscess cavity of the aortic ring was introduced. Because of worsening congestive heart failure, the patient underwent emergency aortic valve replacement and patch closure of the communication of the membranous septum. The patient’s postoperative course was uneventful.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Wasserman SM, Fann JI, Atwood JE, Burdon TA, Fadel BM. Acquired left ventricular–right atrial communication: Gerbode-type defect. Echocardiography. 2002;19:67–72.

    Article  PubMed  Google Scholar 

  2. Inoue H, Iguro Y, Kinjo T, Matsumoto H, Yotsumoto G, Sakata R. Acquired left ventricular–right atrial communication and severe aortic valve regurgitation caused by infective endocarditis. Thorac Cardiovasc Surg. 2009;57:47–56.

    Article  Google Scholar 

  3. Parish LM, Liu L, Woo YJ. Endocarditis with massive aortic root abscess and atrioventricular septal destruction. Interact Cardiovasc Thorac Surg. 2009;8:280–2.

    Article  PubMed  Google Scholar 

  4. Alphonso N, Dhital K, Chambers J, Shabbo F. Gerbode’s defect resulting from infective endocarditis. Eur J Cardiothorac Surg. 2003;23:844–6.

    Article  PubMed  CAS  Google Scholar 

  5. Nakamura M, Akaishi M, Baba A, Shimada M, Moritani K, Yozu R. A case of echocardiographic evaluation of ruptured pseudoaneurysm of the mitral-aortic intervalvular fibrosa by infective endocarditis. J Echocardiogr. 2009;7:55–7.

    Article  Google Scholar 

  6. Elian D, Di Segni E, Kaplinsky E, Mohr R, Vered Z. Acquired left ventricular–right atrial communication caused by infective endocarditis detected by transesophageal echocardiography: case report and review of the literature. J Am Soc Echocardiogr. 1995;8:108–10.

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest statement

All of the authors have no conflict of interest of any organization.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Takahiro Ota.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ota, T., Yamaguchi, R., Tanigawa, T. et al. Left ventricular–right atrial communication by perforation of the atrioventricular portion of the membranous septum and severe aortic valve regurgitation caused by infective endocarditis. J Echocardiogr 9, 30–32 (2011). https://doi.org/10.1007/s12574-010-0056-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12574-010-0056-7

Keywords

Navigation