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European Journal of Echocardiography Advance Access originally published online on January 7, 2009
European Journal of Echocardiography 2009 10(2):374-375; doi:10.1093/ejechocard/jen328
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

Multiple aorto-right cavitary fistula: a rare complication of prosthetic valvular endocarditis in intravenous drug users

Sergio Moral*, Jaime Aboal and Manel Morales

Hospital Universitario Doctor Josep Trueta, Avda Franca s/n, 17007 Girona, Spain

Received 30 September 2008; accepted after revision 7 October 2008; online publish-ahead-of-print 7 January 2009.

* Corresponding author. Tel: + 34 972 940 200; fax: + 34 972 940 270. E-mail address: moral.sergio{at}yahoo.es


   Abstract

Aorto-cavitary fistula is an infrequent complication in infective endocarditis as well as multiple fistula, being the most rare among intracardiac fistulas. The pronogsis of infective endocarditis worsens if there are fistulas associated, exceeding the mortality over 40% despite aggressive surgical treatment. Although transoesophageal echocardiography offers a better sensitivity and specificity, sometimes transthoracic echocardiography is enough to obtain these infrequent pictures that we present.

Keywords: Aorto-cavitary fistula; Infective endocarditis; Intravenous drug user


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