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Case Reports
. 2021 Apr 26;29(2):248-251.
doi: 10.5606/tgkdc.dergisi.2021.21129. eCollection 2021 Apr.

The curious case of coronary cameral fistula with infective endocarditis: A rare harbinger of a common clinical entity

Deepi P Agrawal  1 , Abhishek S Joshi  1 , Sunay Nm  1
Affiliations
Case Reports

The curious case of coronary cameral fistula with infective endocarditis: A rare harbinger of a common clinical entity

Deepi P Agrawal et al. Turk Gogus Kalp Damar Cerrahisi Derg. .

Abstract

Coronary cameral fistula is a rare entity characterized by an abnormal communication between coronary artery and a cardiac chamber. It is congenital and asymptomatic in the majority of patients. A 29-year-old male patient presented with fever and dyspnea for eight months. A coronary cameral fistula arising from the right coronary artery to the right atrium complicating with aortic valve endocarditis was detected on computed tomography angiography. The rarity of the condition and the nuanced complication led to very individualized course of treatment which was optimal for this patient.

Keywords: Coronary; endocarditis; fistula; fungal; valve.

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Conflict of interest statement

Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Figures

Figure 1
Figure 1. A computed tomographic axial image showing a right coronary artery aneurysm.
Figure 2
Figure 2. An intraoperative image showing a dilated RCA and sinonodal branch.
RCA: Right coronary artery.
Figure 3
Figure 3. An intraoperative TTE view showing closed fistula after surgery.
TTE: Transthoracic echocardiography.
Figure 4
Figure 4. An intraoperative image showing sieve-like opening of fistula in right atrium.
See this image and copyright information in PMC

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