title: Multiple aorto-right cavitary fistula: a rare complication of prosthetic valvular endocarditis in intravenous drug users.
abstract: Aorto-cavitary fistula is an infrequent complication in infective endocarditis as well as multiple fistula, being the most rare among intracardiac fistulas. The prognosis of infective endocarditis worsens if there are fistulas associated, exceeding the mortality over 40% despite aggressive surgical treatment. Although transoesophageal echocardiography offers a better sensitivity and specificity, sometimes transthoracic echocardiography is enough to obtain these infrequent pictures that we present.
authors.affiliation: Hospital Universitario Doctor Josep Trueta, Avda Franca s/n, 17007 Girona, Spain. moral.sergio@yahoo.es
authors.forename: Sergio
authors.initials: S
authors.lastname: Moral
authors.forename: Jaime
authors.initials: J
authors.lastname: Aboal
authors.forename: Manel
authors.initials: M
authors.lastname: Morales
mesh_terms: D000328:Adult; D001022:Aortic Valve Insufficiency; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000150:complications*; D005260:Female; D006325:Heart Atria / Q000473:pathology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006352:Heart Ventricles / Q000473:pathology*; D006801:Humans; D011379:Prognosis; D012680:Sensitivity and Specificity; D015819:Substance Abuse, Intravenous / Q000150:complications*; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology*