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Aorto-pulmonary fistula as a late complication of multiple valve replacement after Streptococcus Bovis endocarditis in a patient with occult colon carcinoma

✍ Scribed by Maria Florescu; Diana C. Benea; Gheorghe Cerin; Guido Lanzillo; Marco Diena; Carmelo Cernigliaro; Mircea Cinteza; Dragos Vinereanu


Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
205 KB
Volume
37
Category
Article
ISSN
0091-2751

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✦ Synopsis


Abstract

We report a case of aorto‐pulmonary fistula following multiple valve surgery in a patient with colon carcinoma who had had recurrent episodes of Streptococcus Bovis endocarditis. Diagnosis was made by transesophageal echocardiography and aortography. Patient underwent emergency percutaneous implantation of an aortic endoprosthesis, but he continued to deteriorate and the fatal outcome could not be changed. This case underscores the importance of examination of gastrointestinal tract in patients with Streptococcus Bovis endocarditis. © 2009 Wiley Periodicals, Inc. J Clin Ultrasound, 2009