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Coronary artery fistula associated with mitral valve endocarditis.

Authors:
Meng Shi Yiqing Wang Liewen Pang Jiechun Huang

J Card Surg 2012 Nov;27(6):714-5

Department of Cardiothoracic Surgery, Huashan Hospital, Affiliated with Fudan University, Shanghai, China.

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.

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http://dx.doi.org/10.1111/jocs.12011DOI Listing
November 2012

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