February 1, 2025BMJ Case Reports

Left ventricular outflow track to left atrium fistula: a complication of enterococcal endocarditis and long-term outcome

Q: What is the clinical evidence from this study?

Study design: Case Report. Population: Enterococcal endocarditis with left ventricular outflow tract to left atrium fistula (n=1). Intervention: Surgical replacement of the aortic valve, repair of the mitral aortic fibrosa, repair of the aortic pseudoaneurysm, and conservative treatment of the persistent mitral valve fistula.

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Key result

Aortic valve replacement with conservative fistula treatment manages enterococcal endocarditis complicated by LVOT-to-LA fistula.

Design

Case report

Authors

SSStefan SicinschiSt. Tammany Parish Public School System MMMorni ModiLouisiana State University in Shreveport KMKalgi ModiLouisiana State University in Shreveport

Discussion

Member takes

Implication

May inform management of rare LVOT-LA fistulas in endocarditis; leaves open the role of conservative versus surgical repair.

Study Design

Type

Case Report (n=1)

Structured PICO

Population

One patient with enterococcal endocarditis complicated by a left ventricular outflow tract to left atrium fistula.

Intervention

Surgical replacement of the aortic valve, repair of the mitral aortic fibrosa, repair of the aortic pseudoaneurysm, and conservative management of persistent mitral valve fistula.

Outcome

Long-term outcome

Highlights the surgical and conservative management of a complex case of enterococcal endocarditis complicated by an LVOT to LA fistula.

Cite This Study

Sicinschi et al. (2025) conducted a case report in Enterococcal endocarditis with left ventricular outflow tract to left atrium fistula (n=1). Surgical replacement of the aortic valve, repair of the mitral aortic fibrosa, repair of the aortic pseudoaneurysm, and conservative treatment of the persistent mitral valve fistula was evaluated. A patient with enterococcal endocarditis complicated by a left ventricular outflow tract to left atrium fistula was managed with aortic valve replacement and conservative fistula treatment.

synapsesocial.com/papers/6aa2498def1eab6f8a7a34d4 https://doi.org/10.1136/bcr-2024-261109

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Left ventricular outflow track to left atrium fistula: a complication of enterococcal endocarditis and long-term outcome

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Left ventricular outflow track to left atrium fistula: a complication of enterococcal endocarditis and long-term outcome

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Also Consider

Also Consider