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      Aortocardiac fistulas complicating infective endocarditis

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          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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          Author and article information

          Journal
          The American Journal of Cardiology
          The American Journal of Cardiology
          Elsevier BV
          00029149
          March 2001
          March 2001
          : 87
          : 5
          : 652-654
          Article
          10.1016/S0002-9149(00)01449-1
          11230858
          998d4a61-bba9-447b-aa61-43c3d8a48f10
          © 2001

          https://www.elsevier.com/tdm/userlicense/1.0/

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