Aortocardiac fistulas complicating infective endocarditis.

Abstract

This study sought to determine the clinical and echocardiographic features, surgical approach, and outcome of patients with infective endocarditis complicated with aortocardiac fistulas among a series of 346 consecutive cases between 1988 and 1998. Nine patients (2%) were found to have aortocardiac fistulas complicating infective endocarditis caused by highly pyogenic pathogens (4 patients had ruptured abscesses of the right sinus of Valsalva, 3 had fistulous communications from the left coronary sinus, and 1 had a fistulized abscess in the noncoronary sinus). Mortality in these patients was very high (55%), even when surgery was attempted early in the course of the disease and reconstructive procedures were implemented.

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@article{Anguera2001AortocardiacFC, title={Aortocardiac fistulas complicating infective endocarditis.}, author={Ignasi Anguera and Gianluca Quaglio and J M Mir{\'o} and C. M. B. Pare and Manuel Azqueta and F. Ballenilla Marco and C. A. Mestres and Asunci{\'o}n Moreno and Jos{\'e} Lu{\'i}s Pomar and Paolo Mezzelani and Gines Sanz}, journal={The American journal of cardiology}, year={2001}, volume={87 5}, pages={652-4, A10} }