[Aorta-right ventricle fistula. An unexpected complication of bacterial endocarditis].

BP = 160/90 mmHg in upper limbs, there were no palpable pulses in lower limbs. Systolic impulse verified in the 5th left paraesternal intercostal space, where a tremor irradiated until the 2nd right paraesternal intercostal space. A rude mesotelesystolic murmur audible in that region, irradiating to cervical, subclavicular and interscapular regions. The diagnostic hypothesis was infectious endocarditis, aortic valvar stenosis and coarctation of the aorta. At electrocardiogram, sinus rhythm and left ventricular overload; the thoracic radiography was normal. At blood count, anemia and leukocytosis were found. He was empirically treated with ceftriaxone 3g day.