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Richard Quintiliani, MD; Prabhash Ganguli, MD

JAMA. 1970;214(4):727-730.

Abstract
The combination of arteriovenous fistula, endocarditis, and endarteritis is rare. This communication adds another case of this association with the fistula and the endarteritis involving the splenic artery and vein, a previously unreported cause for a splenic arteriovenous fistula. Listening for a characteristic bruit provided much localizing information while arteriography established the exact area of the fistula. The causative organism was a coagulase-negative staphylococcus which produced large vegetations on the aortic valve.

Author Affiliations
From the Department of Medicine, Middlesex Memorial Hospital, Middletown, Conn; and the University of Connecticut School of Medicine, Storrs (Dr. Quintiliani); and the Department of Medicine, Hartford (Conn) Hospital (Dr. Ganguli).

Footnotes
Reprint requests to 28 Crescent St, Middletown, Conn 06457 (Dr. Quintiliani).

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