Aorto-atrial fistula in rheumatoid arthritis
A patient with severe deforming rheumatoid arthritis presented with a short history of chest pain. The clinical signs were of an unusual diastolic murmur and profound shock unresponsive to therapy. Post-mortem examination disclosed the unexpected finding of a large aorto-atrial fistula.
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↵* Correspondence to Dr P. A. Crean, Department of Cardiovascular Research, Royal Postgraduate Medical School, Hammersmith Hospital, Du Cane Road, London W12 OHS.