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Coronary Artery Fistula Associated with Mitral Valve Endocarditis
Author(s) -
Shi Meng,
Wang Yiqing,
Pang Liewen,
Huang Jiechun
Publication year - 2012
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12011
Subject(s) - medicine , endocarditis , cardiology , mitral valve , fistula , surgery
Coronary artery fistulas are rare, and the further development of mitral valvular insufficiency and endocarditis is even more uncommon. We report a case of endocarditis secondary to a congenital coronary artery fistula arising from the right coronary artery and draining into the left ventricle. Vegetations were found on the mitral valve leaflet. The fistula was successfully treated with surgery, and the endocarditis, with antibiotic therapy. Surgical repair is the optimal treatment for coronary artery fistula, even in asymptomatic patients. (J Card Surg 2012;27:714‐715)