Aorta-to-right atrium fistula, an unusual complication of endocarditis |
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Authors: | Miao-yan Chen Dan-dan Zhong Zhi-qiang Ying |
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Institution: | (1) Department of Internal Medicine, Zhejiang University, Hangzhou, 310009, China;(2) Department of Cardiology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, China |
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Abstract: | Infective endocarditis (IE) remains a serious disease. Aorta-to-right atrium fistula is a rare but very serious compli-cation of IE and predicts a higher mortality. This report describes a 50-year-old man with endocarditis, vegetation, perforation of noncoronary sinus, and formation of two aorta-to-right atrium fistulas with native valves detected by transthoracic echocardi-ography. This disease is lethal despite developments in cardiac imaging and antibacterial therapy. Early diagnosis, aggressive antibacterial therapy, and surgical treatment may improve the prognosis. |
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Keywords: | Infective endocarditis (IE) Aorta-to-right atrium fistula Echocardiography |
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