Polish Journal of Thoracic and Cardiovascular Surgery
eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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1/2026
vol. 23
 
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Letter to the Editor

Successful emergency surgical treatment of complicated native aortic valve endocarditis: paravalvular abscess, aorto-right atrial fistula, and right atrial vegetation

Barış Akça
1
,
Nevzat Erdil
1

  1. Department of Cardiovascular Surgery, Inonu University, Malatya, Turkey
Kardiochirurgia i Torakochirurgia Polska 2026; 23 (1): 71–73
DOI: https://doi.org/10.5114/kitp.2026.160539
Online publish date: 2026/04/04
Article file
- Successful emergency - Barıs Akca.pdf  [2.48 MB]
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1. Delgado V, Ajmone Marsan N, de Waha S, Bonaros N, Brida M, Burri H, Caselli S, Doenst T, Ederhy S, Erba PA, Foldager D, Fosbøl EL, Kovac J, Mestres CA, Miller OI, Miro JM, Pazdernik M, Pizzi MN, Quintana E, Rasmussen TB, Ristiæ AD, Rodés-Cabau J, Sionis A, Zühlke LJ, Borger MA; ESC Scientific Document Group. 2023 ESC Guidelines for the management of endocarditis. Eur Heart J 2023; 44: 3948-4042.
2. Ramanathan A, Witten JC, Gordon SM, Griffin BP, Pettersson GB, Shrestha NK. Factors associated with local invasion in infective endocarditis: a nested case-control study. Clin Microbiol Infect 2021; 27: 1011-1014.
3. Saadia S, Sultan FAT, Iqbal S, Fatimi SH, Nasir A. Case report: aorto-left atrial fistula-a rare complication of native aortic valve endocarditis. Egypt Heart J 2023; 75: 58.
4. Nunez-Ordonez N, Luna JS, Mackenzie JC, Jiménez AF, González A, Pico AJ, Román CF, Rivera PAC, Hincapié CAV. Management of embolic splenic abscess secondary to aortic valve endocarditis – case report and review of literature. J Cardiothorac Surg 2024; 19: 220. 
5. Baddour LM, Wilson WR, Bayer AS, Fowler VG Jr, Tleyjeh IM, Rybak MJ, Barsic B, Lockhart PB, Gewitz MH, Levison ME, Bolger AF, Steckelberg JM, Baltimore RS, Fink AM, O’Gara P, Taubert KA; American Heart Association Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and Stroke Council. Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications: A Scientific Statement for Healthcare Professionals From the American Heart Association. Circulation 2015; 132: 1435-1486.
6. El-Nayir M, Nwaezeapu K, Daniel E, Lopez-Madrid R, Carrillo CV, Khan M, Abdalla H, Akaah J, Perry D, Lyons R. Ruptured sinus of valsalva aneurysm with aorto-atrial fistula mimicking tricuspid valve endocarditis. JACC Case Rep 2025; 30: 104561.
7. Agrawal A, Amor MM, Iyer D, Parikh M, Cohen M. Aortico-left atrial fistula: a rare complication of bioprosthetic aortic valve endocarditis secondary to Enterococcus faecalis. Case Rep Cardiol 2015; 2015: 473246.
Copyright: © 2026 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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