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European Heart Journal Advance Access originally published online on December 15, 2004
European Heart Journal 2005 26(3):213-214; doi:10.1093/eurheartj/ehi076
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European Heart Journal vol. 26 no. 3 © The European Society of Cardiology 2004; all rights reserved.

Aorto-cavitary fistulae in infective endocarditis: understanding a rare complication through collaboration

N.P. Jenkins1, G. Habib2 and B.D. Prendergast1,*

1Department of Cardiology, Wythenshawe Hospital, Southmoor Road, Wythenshawe, Manchester M23 9LT, UK
2Department of Cardiology, Le Timone Hospital, Marseille, France

* Corresponding author. Tel: +44 161 291 2923; fax: +44 161 291 2389. E-mail address: bernard.prendergast@smuht.nwest.nhs.uk

This editorial refers to ‘Aorto-cavitary fistulous tract formation in infective endocarditis: clinical and echocardiographic features of 76 cases and risk factors for mortality’{dagger} by I. Anguera et al., on page 288

The first 10% of the full text of this article appears below.

Even in the modern era of antimicrobial chemotherapy and advanced diagnostic imaging, infective endocarditis continues to surprise, frustrate, and perplex, and remains an evolving disease with a persistently high mortality and morbidity. Almost all aspects of the disease, including its natural history, pre-disposing factors, sequelae, and causative organisms are virtually unrecognizable compared with Osler's initial descriptions from the nineteenth century.1 In particular, chronic rheumatic heart disease is now an uncommon antecedent, whereas mitral valve prolapse, prior valve replacement, intravenous drug use, and preceding vascular instrumentation have become increasingly frequent, coinciding with an increase in staphylococcal infections and those due to fastidious or atypical organisms.2 Clinical studies have been slow to adapt to these shifting epidemiological patterns, . . . [Full Text of this Article]


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Related articles in EHJ:

Aorto-cavitary fistulous tract formation in infective endocarditis: clinical and echocardiographic features of 76 cases and risk factors for mortality
Ignasi Anguera, Jose M. Miro, Isidre Vilacosta, Benito Almirante, Manuel Anguita, Patricia Muñoz, Jose Alberto San Roman, Aristides de Alarcon, Tomas Ripoll, Enrique Navas, Carlos Gonzalez-Juanatey, Christopher H. Cabell, Cristina Sarria, Ignacio Garcia-Bolao, M. Carmen Fariñas, Ruben Leta, Gabriel Rufi, Francisco Miralles, Carles Pare, Artur Evangelista, Vance G. Fowler, Jr, Carlos A. Mestres, Elisa de Lazzari, Joan R. Guma, and Aorto-cavitary Fistula in Endocarditis Working Group
EHJ 2005 26: 288-297. [Abstract] [Full Text]