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Updated: Jun 27, 2026

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Leveraging Color M-Mode to Diagnose Aorto-Atrial Fistula as a Complication of Infective Endocarditis
Kramer J Wahlberg1, Matthew A Kluge2, William E Hopkins1
1Department of Medicine Division of Cardiology at the Robert Larner MD College of Medicine University of Vermont, Burlington, VT, USA.
Abstract:
Aorto-atrial fistula is a rare and life-threatening complication of infective endocarditis, classically diagnosed by visualizing a connection between the aorta and atrium with associated continuous flow. A patient presented with bioprosthetic and native valve enterococcal endocarditis with multiple complications, including an aorto-atrial fistula that was diagnosed by color M-mode on transesophageal echocardiography. We review the features of aorto-atrial fistula and utilize this case to demonstrate how M-mode can be leveraged to provide improved temporal resolution in the setting of diagnostic uncertainty.
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