title: Delayed presentation of a mitral annular perforation complicating Staphylococcus aureus infective endocarditis.
abstract: This report describes a patient who presented with congestive heart failure secondary to a mitral annular-left atrial fistula. There was a remote history of Staphylococcus aureus endocarditis involving the mitral valve which was treated medically 30 years previously. The sterile fistula was managed surgically with an annuloplasty.
authors.affiliation: Department of Surgery, Duke University Medical Center, Durham, North Carolina.
authors.forename: R L
authors.initials: RL
authors.lastname: Quigley
authors.forename: R H
authors.initials: RH
authors.lastname: Peter
authors.forename: J E
authors.initials: JE
authors.lastname: Lowe
mesh_terms: D000368:Aged; D004697:Endocarditis, Bacterial / Q000150:complications*; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D006325:Heart Atria; D006331:Heart Diseases / Q000209:etiology* / Q000601:surgery; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000473:pathology*; D013203:Staphylococcal Infections / Q000150:complications*; D013997:Time Factors