Williams-Phillips S
Thai Wing, Andrews Memorial Hospital Ltd, 27 Hope Road, Kingston 10, Jamaica, West Indies.
West Indian Med J. 2012 Oct;61(7):756-9.
Aorto-cavitary fistulae are rare complications of infective endocarditis. The diagnosis, in the absence of concomitant aortic valve disease, replacement of aortic valve with homograft or prosthetic valve, periannular abscess and negative blood culture, requires a high index of suspicion and has important prognostic and management significance. The sensitivity of the Modified Duke Criteria is challenged in this case report with a documented right sinus of valsalva fistula to the right ventricle seen on transthoracic echocardiography.
主动脉-腔静脉瘘是感染性心内膜炎的罕见并发症。在没有合并主动脉瓣疾病、同种异体移植物或人工瓣膜置换主动脉瓣、瓣周脓肿且血培养阴性的情况下，诊断需要高度怀疑，并且具有重要的预后和管理意义。在本病例报告中，经胸超声心动图显示记录到的右冠窦至右心室瘘对改良杜克标准的敏感性提出了挑战。
