Infective endocarditis of an asymptomatic congenital aorta-right atrial tunnel: a case report

BACKGROUND: Aorta-right atrial tunnel (ARAT) is a rare congenital anomaly whose aetiology and incidence are unknown. It might represent a diagnostic and therapeutic challenge requiring a combination of imaging modalities and an integrated teamwork. CASE SUMMARY: We report a case of a 23-year-old man...

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Detalles Bibliográficos
Autores principales: Onorato, Eustaquio Maria, Costante, Anna Maria, Andreini, Daniele, Bartorelli, Antonio L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180523/
https://www.ncbi.nlm.nih.gov/pubmed/32352048
http://dx.doi.org/10.1093/ehjcr/ytaa039
Descripción
Sumario:BACKGROUND: Aorta-right atrial tunnel (ARAT) is a rare congenital anomaly whose aetiology and incidence are unknown. It might represent a diagnostic and therapeutic challenge requiring a combination of imaging modalities and an integrated teamwork. CASE SUMMARY: We report a case of a 23-year-old man with an asymptomatic ARAT complicated by infective endocarditis, diagnosed with non-invasive multimodality imaging, and successfully treated with a catheter-based approach. DISCUSSION: Aorta-right atrial tunnel closure in asymptomatic patients is still a matter of debate. Considering the risk of serious complications surgical treatment might be recommended soon after diagnosis. In selected cases, catheter-based closure might represent a safe, effective, and less invasive alternative to traditional surgical approach.

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