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2017, Number 3

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Rev Clin Esc Med 2017; 7 (3)

Manejo de fístula aorto-cavitaria. Complicación de endocarditis bacteriana

Madrigal JS, Sánchez JE
Full text How to cite this article

Language: Spanish
References: 10
Page: 1-5
PDF size: 260.29 Kb.


Key words:

bacterial endocarditis, fistula, aortic insufficiency.

ABSTRACT

Fistulas are part of the complications of bacterial endocarditis, which have low prevalence according to this pathology. We present a case of a patient with unknown personal pathological history, who had two weeks of fever, associated with poor general condition. In an echocardiogram it is described an aortic insufficiency, associated with the presence of a vegetation and a fistula on the right valve, which is treated by mechanical aortic valve replacement, with adequate evolution.


REFERENCES

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  2. Gilbert H LuigiB Cristophe T, et al. Recomendations for the practice of echocardiography in infective endocarditis. Eur J Echocardiogr. 2010; 11: 202-219.

  3. Angular I Miro JM Villacosta I, et al. Aortocavitary fistolous tract formation in infective endocarditis: clinical and echocardiographic features of 76 cases and risk factors for mortality. Eur Heart J. 2005; 26: 288-297.

  4. Jenkink NP Habib G Prendergast BD. Aortocavitary fistulae in infective endocarditis: understanding a rare complication through collaboration. Eur Heart J. 2005; 26: 213.

  5. Gales JN Perez IE Villablanca PA, et al. Aortocavitary fistula as a complication of infective endocarditis and subsequent complete heart block in a patient with anemia. J Community Hosp Intern Med Perspect. 2015; 6: 29446.

  6. Kawahira T Iwahashi K Okada M. Aortocavitary fistula without aneurysm and transient incomplete atrioventricular block due to infective endocarditis. Gen Thorac Cardiovasc Surg. 2010; 58: 45–48.

  7. Habib G Lancelllotti P Antunes MJ, et al. 2015 ESC Guidelines dor the managment of infective endocarditis of the European Society of Cardiology. Eur Heart J. 2015; 36: 3075.

  8. Satué-Bartolome JA Sáenz M. Streptococcus gallolyticus: un nuevo nombre para un viejo conocido. Archivos de medicina. 2009; 5: 1- 50.

  9. Tingleff J Egeblad H Gotzsche CO, et al. Perivalvular cavities in endocarditis: Abscesses versus pseudoaneurysm? A transesophageal doppler echocardiographic study in 118 patients with endocarditis. Am Heart J. 1995; 130: 93-100.

  10. Anguera I Miro JM Evangelista A, et al. Perianular complications in infective endocarditis involving native aortic valves. Am J Cardiol. 2006; 98: 1254-1260.




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Rev Clin Esc Med. 2017;7