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Updated: Jul 18, 2026

Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery
Published on: November 28, 2018
A rare complication of aortic valve endocarditis: diagnosis with transesophageal echocardiography
T M Winslow1, D A Friar, A W Larson
1Department of Internal Medicine, Tripler Army Medical Center, Honolulu, HI 96859-5000, USA.
Abstract:
Rupture of the membranous interventricular septum resulting in a left ventricular to right atrial shunt is a rare complication of endocarditis. Early recognition of this complication is essential because these patients require early surgical intervention. We report a case of a left ventricular-right atrial shunt complicating aortic valve endocarditis in which transesophageal echocardiography was used to accurately diagnose the lesion before surgery. We will discuss the role of transesophageal echocardiography in the diagnosis of this lesion and will review the existing literature pertaining to this rare complication.
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