title: Aorto-pulmonary fistula as a late complication of multiple valve replacement after Streptococcus Bovis endocarditis in a patient with occult colon carcinoma.
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.
authors.affiliation: Department of Cardiology, University and Emergency Hospital of Bucharest, Bucharest, Romania.
authors.forename: Maria
authors.initials: M
authors.lastname: Florescu
authors.forename: Diana C
authors.initials: DC
authors.lastname: Benea
authors.forename: Gheorghe
authors.initials: G
authors.lastname: Cerin
authors.forename: Guido
authors.initials: G
authors.lastname: Lanzillo
authors.forename: Marco
authors.initials: M
authors.lastname: Diena
authors.forename: Carmelo
authors.initials: C
authors.lastname: Cernigliaro
authors.forename: Mircea
authors.initials: M
authors.lastname: Cinteza
authors.forename: Dragos
authors.initials: D
authors.lastname: Vinereanu
mesh_terms: D000230:Adenocarcinoma / Q000150:complications; D001021:Aortic Valve / Q000000981:diagnostic imaging*; D001159:Arterio-Arterial Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D003110:Colonic Neoplasms / Q000150:complications; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications*; D017809:Fatal Outcome; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D016459:Prosthesis-Related Infections / Q000150:complications*; D011651:Pulmonary Artery / Q000000981:diagnostic imaging*; D013290:Streptococcal Infections / Q000150:complications; D016985:Streptococcus bovis