Multimodality Imaging of the Mitral Paravalvular Abscess Cavity with Left Ventriculo-atrial Fistula

Gursoy M. O. , Ozkan M., Aykan A. C. , Yildiz M., Kahveci G.

HEART LUNG AND CIRCULATION, vol.21, no.5, pp.284-286, 2012 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 5
  • Publication Date: 2012
  • Doi Number: 10.1016/j.hlc.2012.03.004
  • Journal Indexes: Science Citation Index Expanded, Scopus
  • Page Numbers: pp.284-286


Paravalvular complications may occur in patients with infective endocarditis. Paravalvular abscess formation rarely occurs and if so it generally involves the aortic valve. Herein we present a case of left ventriculo-atrial fistula formation through mitral paravalvular abscess cavity shown by multimodality imaging including two- and real-time three-dimensional transoesophageal echocardiography (RT 3-D TEE), cardiac magnetic resonance imaging (CMRI), multislice computed tomography (MSCT) and ventriculography in a patient with a mechanical prosthetic mitral valve. This is the first case in the literature of a mechanical prosthetic mitral valve complicated by a left ventriculo-atrial fistula formation in a healed abscess cavity that is demonstrated with RT-3D TEE, cardiac MRI and MSCT. (Heart, Lung and Circulation 2012;21:284-286) (C) 2012 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.