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  • Title: Left ventricular outflow tract-right atrial fistula following aortic valve replacement.
    Author: Elmistekawy E, Dickie S, Nicholson D, Mesana T.
    Journal: J Card Surg; 2012 Sep; 27(5):570-2. PubMed ID: 22762357.
    Abstract:
    A 59-year-old male, undergoing outpatient treatment of a sternal wound infection following elective aortic valve replacement surgery, presented with decompensated heart failure. The patient required emergency redo surgery after investigations revealed a left ventricular outflow tract to right atrial fistula due to endocarditis with right ventricular dysfunction. Echocardiography, in particular transesophageal echocardiography, was essential for the diagnosis of this rare event.
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