title: Staphylococcal aortic valve endocarditis with aortic root to right atrial fistula.
abstract: Infective endocarditis can be complicated by the development of intra-cardiac shunts. A case of endocarditis secondary to staphylococcal septicaemia is reported where various conduction defects preceded the development of a fistula from the aortic root to the right atrium. Before emergency surgery there was marked worsening of heart failure with the appearance of a new loud murmur throughout diastole.
mesh_terms: D000293:Adolescent; D001021:Aortic Valve; D004697:Endocarditis, Bacterial / Q000150:complications*; D005402:Fistula / Q000209:etiology*; D006325:Heart Atria; D006333:Heart Failure / Q000209:etiology; D006349:Heart Valve Diseases / Q000209:etiology; D006801:Humans; D008297:Male; D013203:Staphylococcal Infections / Q000150:complications