Aorto-Left Atrial Fistula Complicating Native Aortic Valve Endocarditis

A 21-year-old male with native aortic valve Streptococcus viridans endocarditis was found to have an aorto-left atrial fistula by transthoracic echocardiography. He underwent successful fistula plication and aortic valve replacement.