Journal of Zhejiang University SCIENCE B

, Volume 10, Issue 3, pp 230–232 | Cite as

Aorta-to-right atrium fistula, an unusual complication of endocarditis

Case Report


Infective endocarditis (IE) remains a serious disease. Aorta-to-right atrium fistula is a rare but very serious complication of IE and predicts a higher mortality. This report describes a 50-year-old man with endocarditis, vegetation, perforation of noncoronary sinus, and formation of two aorta-to-right atrium fistulas with native valves detected by transthoracic echocardiography. This disease is lethal despite developments in cardiac imaging and antibacterial therapy. Early diagnosis, aggressive antibacterial therapy, and surgical treatment may improve the prognosis.

Key words

Infective endocarditis (IE) Aorta-to-right atrium fistula Echocardiography 

CLC number



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Copyright information

© Zhejiang University and Springer-Verlag GmbH 2009

Authors and Affiliations

  1. 1.Department of Internal MedicineZhejiang UniversityHangzhouChina
  2. 2.Department of Cardiology, the Second Affiliated Hospital, School of MedicineZhejiang UniversityHangzhouChina

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