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Coronary fistula associated with double mitral valve disease. A case report
1División de Cardiología, Hospital de Especialidades, Centro Médico La Raza, Instituto Mexicano del Seguro Social, México, D.F.
Insights
A rare case of coronary fistula and double mitral valve disease in a 54-year-old male was successfully treated with surgical intervention. This highlights a unique clinical presentation requiring complex cardiac management.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Case Reports
Background:
- Coronary fistulas are abnormal connections between a coronary artery and a heart chamber or vessel.
- Double mitral valve disease is a rare congenital or acquired condition affecting both leaflets of the mitral valve.
- The simultaneous occurrence of these two conditions presents a significant diagnostic and therapeutic challenge.
Observation:
- A 54-year-old male presented with symptoms indicative of complex cardiac pathology.
- Diagnostic workup included invasive and non-invasive cardiac imaging, such as coronary angiography.
- The patient was found to have a coronary fistula in conjunction with double mitral valve disease.
Findings:
- Surgical treatment involved successful closure of the coronary fistula.
- The procedure also included partial resection of the left atrium.
- A mechanical mitral valve prosthesis was implanted to address the valve disease.
Implications:
- This case underscores the importance of comprehensive cardiac evaluation for rare congenital or acquired anomalies.
- Successful surgical management demonstrates the feasibility of treating this complex association.
- Further research into the etiology and optimal management strategies for such rare conditions is warranted.
Abstract:
The authors report a case of a 54-year-old white male with a coronary fistula associated with double mitral valve disease. The patient was studied by invasive and non-invasive cardiac methods including coronary angiogram in order to reach the correct diagnosis and to define the successful surgical treatment that included the closure of the fistula, partial resection of the left atrium and insertion of a mechanical mitral valve prosthesis. It is concluded that this case represents a very rare association between coronary fistula and double mitral valve disease.