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We represent an unfortunate case of postinfluenza streptococcal endocarditis in a 34-year-old healthy male. He presented with hypoxic respiratory failure and was found to have mitral and aortic valve vegetation. Hospital course was complicated by the presence of an aortoatrial fistula from an aortic root abscess, persistent septic shock, and multiorgan failure.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516764 | PMC |
http://dx.doi.org/10.1155/2017/8189658 | DOI Listing |
CJC Open
August 2025
Department of Medical Sciences, Kiran C. Patel College of Osteopathic Medicine, Clearwater, Florida, USA.
Cardiovasc Ultrasound
August 2025
Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, +393281998878, Italy.
A 35-year-old male, without significant cardiovascular history, presented with recurrent palpitations. Initial echocardiographic evaluation demonstrated eccentric left ventricular hypertrophy, mild systolic dysfunction, suspicion of a ventricular septal defect, bicuspid aortic valve, and right ventricular dilation. Transesophageal echocardiography revealed an aneurysmal dilation of the right coronary sinus with an aorto-atrial/ventricular fistula, further confirmed by contrast-enhanced computed tomography angiography.
View Article and Find Full Text PDFThis case report describes a 62-year-old female with a history of heart failure with preserved ejection fraction (HFpEF) who presented to the emergency department with heart failure exacerbation. She was initially diagnosed with bilateral pleural effusions and treated with thoracentesis and diuretics. When follow-up indicated a lack of improvement, an ischemic workup was ordered.
View Article and Find Full Text PDFJACC Case Rep
August 2025
Department of Cardiovascular and Thoracic Surgery, University of Louisville School of Medicine, Louisville, Kentucky, USA. Electronic address:
Background: Sinus of Valsalva aneurysm is a rare condition that can cause acute heart failure once it develops a fistula.
Case Summary: A previously healthy 28-year-old man without history of intravenous drug use initially presents with an acute onset of heart failure symptoms. Transthoracic echocardiogram transesophageal echocardiogram revealed an aorto-atrial fistula causing significant left-to-right shunting.
JACC Case Rep
July 2025
Division of Cardiothoracic Surgery, Trinity Health Ann Arbor, Ypsilanti, Michigan, USA.
Background: Sinus of Valsalva aneurysm (SOVA) is a rare cardiac anomaly that can lead to acute cardiovascular collapse if ruptured. Prompt diagnosis and surgical repair are vital for survival.
Case Summary: A 26-year-old woman presented with right upper quadrant pain and nausea.