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CLC number: R54

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Received: 2008-07-08

Revision Accepted: 2008-11-26

Crosschecked: 2009-01-20

Cited: 1

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Citations:  Bibtex RefMan EndNote GB/T7714

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Journal of Zhejiang University SCIENCE B 2009 Vol.10 No.3 P.230-232


Aorta-to-right atrium fistula, an unusual complication of endocarditis

Author(s):  Miao-yan CHEN, Dan-dan ZHONG, Zhi-qiang YING

Affiliation(s):  Department of Internal Medicine; more

Corresponding email(s):   zjhzyzq@sina.com

Key Words:  Infective endocarditis (IE), Aorta-to-right atrium fistula, Echocardiography

Miao-yan CHEN, Dan-dan ZHONG, Zhi-qiang YING. Aorta-to-right atrium fistula, an unusual complication of endocarditis[J]. Journal of Zhejiang University Science B, 2009, 10(3): 230-232.

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author="Miao-yan CHEN, Dan-dan ZHONG, Zhi-qiang YING",
journal="Journal of Zhejiang University Science B",
publisher="Zhejiang University Press & Springer",

%0 Journal Article
%T Aorta-to-right atrium fistula, an unusual complication of endocarditis
%A Miao-yan CHEN
%A Dan-dan ZHONG
%A Zhi-qiang YING
%J Journal of Zhejiang University SCIENCE B
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%P 230-232
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%D 2009
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B0820229

T1 - Aorta-to-right atrium fistula, an unusual complication of endocarditis
A1 - Miao-yan CHEN
A1 - Dan-dan ZHONG
A1 - Zhi-qiang YING
J0 - Journal of Zhejiang University Science B
VL - 10
IS - 3
SP - 230
EP - 232
%@ 1673-1581
Y1 - 2009
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B0820229

infective endocarditis (IE) remains a serious disease. aorta-to-right atrium fistula is a rare but very serious complication 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 echocardiography. This disease is lethal despite developments in cardiac imaging and antibacterial therapy. Early diagnosis, aggressive antibacterial therapy, and surgical treatment may improve the prognosis.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article


[1] Anguera, I., Miro, J.M., Vilacosta, I., Almirante, B., Anguita, M., Muñoz, P., Roman, J.A., de Alarcon, A., Ripoll, T., Navas, E., et al., 2005a. Aorto-cavitary fistulous tract formation in infective endocarditis: clinical and echocardiographic features of 76 cases and risk factors for mortality. Eur. Heart J., 26(3):288-297.

[2] Anguera, I., Miro, J.M., Cabell, C.H., Abrutyn, E., Fowler, V.G.Jr., Hoen, B., Olaison, L., Pappas, P.A., de Lazzari, E., Eykyn, S., et al., 2005b. Clinical characteristics and outcome of aortic endocarditis with periannular abscess in the International Collaboration on Endocarditis Merged Database. Am. J. Cardiol., 96(7):976-981.

[3] Bashore, T.M., Cabell, C., Fowler, V.Jr., 2006. Update on infective endocarditis. Curr. Probl. Cardiol., 31(4): 274-352.

[4] Hoen, B., Alla, F., Selton-Suty, C., Béguinot, I., Bouvet, A., Briançon, S., Casalta, J.P., Danchin, N., Delahaye, F., Etienne, J., et al., 2002. Changing profile of infective endocarditis: results of a 1-year survey in France. JAMA, 288(1):75-81.

[5] Lee, C.H., Tsai, W.C., Liu, P.Y., Tsai, L.M., Ho, M.T., Chen, J.H., Lin, L.J., 2007. Epidemiologic features of infective endocarditis in Taiwanese adults involving native valves. Am. J Cardiol., 100(8):1282-1285.

[6] Moreillon, P., Que, Y.A., 2004. Infective endocarditis. Lancet, 10(9403):139-149.

[7] San Román, J.A., López, J., Revilla, A., Vilacosta, I., Tornos, P., Almirante, B., Mota, P., Villacorta, E., Sevilla, T., Gómez, I., et al., 2008. Rationale, design, and methods for the early surgery in infective endocarditis study (ENDOVAL 1): a multicenter, prospective, randomized trial comparing the state-of-the-art therapeutic strategy versus early surgery strategy in infective endocarditis. Am. Heart J., 156(3):431-436.

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