학술논문
대동맥-우심방 터널에 동반된 감염성 심내막염
Aorta-right Atrial Tunnel Accompanying Infective Endocarditis
Aorta-right Atrial Tunnel Accompanying Infective Endocarditis
Document Type
Article
Author
진석재 / Suk Je Jin; 김동한 / Dong Han Kim; 정용진 / Yong Jin Jeong; 김병기 / Byung Ki Kim; 장승재 / Seung Jae Jang; 방준희 / Jun Hee Bang; 정영곤 / Young Gon Jung
Source
대한내과학회지 (Korean J Med) / The Korean Journal of Medicine (Korean J Med). Feb 01, 2016 90(2):140
Subject
Language
Korean
ISSN
1738-9364
Abstract
저자들은 대동맥-우심방 터널과 감염성 심내막염이 동반된 환자를 수술적 치료한 증례 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Aorta-right atrial tunnel is a vascular anomaly that originates from the aortic sinus and terminates in either the superior vena cava or the right atrium. The patency of the tunnel can result in volume overload in both ventricles, bacterial endocarditis, aneurysm formation, and spontaneous rupture. Transesophageal echocardiography was performed in a 42-year-old male patient diagnosed with infectious endocarditis, and vegetation of the mitral and aortic valves, right atrial enlargement, and an extracardiac blood vessel connecting the aorta to the right atrium were discovered. Therefore, we were able to diagnose an aorta-right atrial tunnel leading to infectious endocarditis and proceeded with surgical treatment. Together with a review of the literature, we present a case report of a patient with aorta-right atrial tunnel accompanied by infectious endocarditis. (Korean J Med 2016;90:140-143)
Aorta-right atrial tunnel is a vascular anomaly that originates from the aortic sinus and terminates in either the superior vena cava or the right atrium. The patency of the tunnel can result in volume overload in both ventricles, bacterial endocarditis, aneurysm formation, and spontaneous rupture. Transesophageal echocardiography was performed in a 42-year-old male patient diagnosed with infectious endocarditis, and vegetation of the mitral and aortic valves, right atrial enlargement, and an extracardiac blood vessel connecting the aorta to the right atrium were discovered. Therefore, we were able to diagnose an aorta-right atrial tunnel leading to infectious endocarditis and proceeded with surgical treatment. Together with a review of the literature, we present a case report of a patient with aorta-right atrial tunnel accompanied by infectious endocarditis. (Korean J Med 2016;90:140-143)