Case report: Surgical repair for left main coronary artery to right atrium fistula with endocarditis
Weimin Zhang1, Abdunabi Maimaitiaili1, Yan Xing2
1Department of Cardiac Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.
Insights
A rare coronary artery fistula (CAF) to the right atrium, complicated by endocarditis, was successfully treated with surgery. This case highlights effective diagnosis and management of this complex cardiac anomaly.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Imaging
Background:
- Coronary artery fistula (CAF) is a rare congenital heart anomaly.
- These fistulas represent abnormal connections between a coronary artery and a cardiac chamber or major vessel.
- Giant CAFs, particularly involving the left main coronary artery, are exceptionally uncommon.
Abstract:
Coronary artery fistula (CAF) is a rare coronary anomaly defined as a communication between coronary artery and other heart chambers or vascular structures. In this case report, a 32-year-old woman with a giant left main coronary artery to the right atrium fistula with endocarditis was presented. CAF was diagnosed by transthoracic echocardiography and subsequently confirmed by cardiac computerized tomographic and coronary angiography. The patient received antibiotic treatment for infective endocarditis for 6 weeks preoperatively. The fistula was successfully treated with surgical repair. The patient is well now after 18 months of follow-up.
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