Repair of a Fistula between the Aorta and Right Ventricular Outflow Tract Secondary to Infective Endocarditis of a Unicuspid Aortic Valve and Previously Repaired Ventricular Septal Defect

Abstract

Abstract Background: Infective endocarditis of the aortic valve can result in a wide range of destructive pathology beyond the valve leaflets and annulus which require careful surgical planning to provide appropriate debridement and reconstruction. Failure to do so can result in a failure of surgical treatment, recurrent infection and cardiac failure with concomitant high morbidity and mortality. Case report: We describe the case of a 45-year-old male with previous patch repair of a ventricular septal defect, who was diagnosed with sub-acute bacterial endocarditis of the native aortic valve and found to have a new fistula from the aorta to the right ventricular outflow tract managed surgically. Conclusion: This unique case highlights another spectrum of infective endocarditis with a unique approach to repair and management.