Background Aorta-right atrial tunnel (ARAT) is a rare congenital anomaly whose aetiology and incidence are unknown. It might repre-sent 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, diagnosedwith 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 com-plications surgical treatment might be recommended soon after diagnosis. In selected cases, catheter-based closure mightrepresent a safe, effective, and less invasive alternative to traditional surgical approach
Infective endocarditis of an asymptomatic congenital aorta-right atrial tunnel: a case report / E.M. Onorato, A.M. Costante, D. Andreini, A.L. Bartorelli. - In: EUROPEAN HEART JOURNAL. CASE REPORTS. - ISSN 2514-2119. - 4:2(2020 Apr), pp. 1-5.
Infective endocarditis of an asymptomatic congenital aorta-right atrial tunnel: a case report
D. AndreiniPenultimo
;A.L. BartorelliUltimo
2020
Abstract
Background Aorta-right atrial tunnel (ARAT) is a rare congenital anomaly whose aetiology and incidence are unknown. It might repre-sent 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, diagnosedwith 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 com-plications surgical treatment might be recommended soon after diagnosis. In selected cases, catheter-based closure mightrepresent a safe, effective, and less invasive alternative to traditional surgical approachFile | Dimensione | Formato | |
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