[Successful management of mycotic abdominal arteriovenous fistula complicated with infective endocarditis--a case report].

A 56-year-old man, who had been febrile for one month, suddenly had severe left foot pain. He also became dyspneic. Embolic occlusion of left femoral artery as well as severe acute aortic regurgitation due to Staphylococcus endocarditis was demonstrated by arteriography and echocardiography. The patient underwent emergency aortic valve replacement and above knee amputation of left foot at the same time. Postoperatively he continued to be hypotensive and, at 6th postoperative day, abdominal vascular bruit was first observed. Aortography revealed left common iliac aneurysm with an arterio-venous fistula. The aneurysm was excised and venous opening of the fistula was oversewn. Aortic end was reconstructed with bifurcated prosthetic graft. Antibiotic therapy was continued 6 weeks. His postoperative course was uneventful.