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Aortic Root Abscess Complicated by Fistulization and Intracerebral Hemorrhagic Infarction

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Abstract

We report an unusual case of a 12-year-old male with aortic root abscess complicated by fistulization and intracerebral hemorrhagic infarction. Transesophageal echocardiography provided exact information about the location and dimension. Color-flow mapping demonstrated fistulous communication between the abscess and both the aorta and the left ventricle, causing severe diastolic regurgitation through the paravalvular leak. Pulmonary autograft aortic root replacement was performed with good result.

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Authors and Affiliations

  1. Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, University of Erlangen–Nürnberg, Loschgestrasse 15, D-91054 Erlangen, Germany

    A. Koch, G. Buheitel & H. Singer

  2. Center of Cardiac Surgery, University of Erlangen–Nürnberg, Loschgestrasse 15, D-91054 Erlangen, Germany

    R. Cesnjevar

Authors
  1. A. Koch
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  2. R. Cesnjevar
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  3. G. Buheitel
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  4. H. Singer
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Correspondence to A. Koch.

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Koch, A., Cesnjevar, R., Buheitel, G. et al. Aortic Root Abscess Complicated by Fistulization and Intracerebral Hemorrhagic Infarction. Pediatr Cardiol 24, 576–580 (2003). https://doi.org/10.1007/s00246-003-0403-9

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  • DOI: https://doi.org/10.1007/s00246-003-0403-9

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