Korean Circ J.  1996 Dec;26(6):1218-1222. 10.4070/kcj.1996.26.6.1218.

A Case of Congenital Coronary Arteriovenous Fistula Presented as Congestive Heart Failure and Aortic Valve Infective Endocarditis

• Lee SG
• Ko KW
• Yoon JH
• Hong SK
• Hyun MS
• Kim MA
• Lee YT
• Park SH

• KMID: 1672275
• DOI: http://doi.org/10.4070/kcj.1996.26.6.1218

Abstract

A 43-year-old female patient with a congenital right coronary artery to right atrial fistula presented as congestive heart failure and aortic valve infective endocarditis. The diagnosis was made on the basis of echocardiography, especially TEE and confirmed by tight heart catheterization & aortography. She underwent aortic valve replacement due to severe aortic valve regurgitation with vegetations, fistulectomy and coronary aneurysmorrhaphy. The postoperative course was uneventful. She was treated with antibiotics because of infective endocarditis for 6 weeks. At present she remains well and visits out patient clinic regularly for oral anticoagulation without problem.

Keyword

Coronary arteriovenous fistula; Congestive heart failure; Infective endocarditis

MeSH Terms

Adult
Anti-Bacterial Agents
Aortic Valve*
Aortography
Arteriovenous Fistula*
Cardiac Catheterization
Cardiac Catheters
Coronary Vessels
Diagnosis
Echocardiography
Endocarditis*
Estrogens, Conjugated (USP)*
Female
Fistula
Heart Failure*
Humans
Anti-Bacterial Agents
Estrogens, Conjugated (USP)