Aortico-Left Atrial Fistula: A Rare Complication of Bioprosthetic Aortic Valve Endocarditis Secondary to Enterococcus faecalis

Figure 1

Transesophageal echocardiogram in short axis (a) and long axis (b) views, showing an extensive aortic root abscess around a bioprosthetic aortic valve, forming a fistulous communication to left atrium (legend: ABSC = abscess, LA = left atrium, MASS = mass in LA, BPAV = bioprosthetic aortic valve, RA = right atrium, AML = anterior mitral leaflet, and LV = left ventricle).

(a)

(b)