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Case Reports
. 2014 Nov;30(11):1462.e3-5.
doi: 10.1016/j.cjca.2014.06.008. Epub 2014 Jun 17.

A tortuous road for septic pulmonary emboli in left-sided endocarditis

Sjoerd Reinders  1 , Kjell Bogaard  2 , Constant L A Reichert  2 , Remco J J Knol  3
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Case Reports

A tortuous road for septic pulmonary emboli in left-sided endocarditis

Sjoerd Reinders et al. Can J Cardiol. 2014 Nov.

Abstract

Coronary artery fistulae are rare congenital or acquired connections between the coronary vessels and the cardiac chambers or other vascular structures. We report a case of a woman with mitral valve endocarditis and multiple pulmonary septic emboli. Transesophageal echocardiography revealed a tortuous coronary fistula as the pathway for the septic emboli. The fistula, which originated from the right coronary artery to the right atrium, was visualized using different imaging modalities.

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