Acquired Arteriovenous Fistulas Complicated by Endarteritis, and Endocarditis Lenta Due toStreptococcus faecalis

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Abstract
THE occurrence of an acquired arteriovenous fistula complicated by both bacterial endocarditis and endarteritis is unusual. Although 20 cases of traumatic arteriovenous fistula with associated bacterial endarteritis have been reported,1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 only 7 of these were complicated by coexistent endocarditis.1 2 3 4 5 6 7 The aortic valve was the site of the endocarditis in all cases. Heretofore, Streptococcus viridans has been found to be the cause of the septicemia. Although arteriovenous fistula with endarteritis has occurred at variable sites, it has uniformly involved the femoral or closely associated vessels in cases complicated by both endarteritis and endocarditis. Among these patients, therapy was supportive except in . . .