title: Coronary artery fistula presenting as bacterial endocarditis.
abstract: Coronary artery fistula is often considered to be a benign and rare congenital anomaly. It is usually an incidental finding encountered during routine cardiac catheterization. We report a case of a patient presenting with endocarditis involving a large coronary artery fistula connecting an aneurysmal circumflex coronary artery to the coronary sinus. The diagnosis was initially made by echocardiography and confirmed by cardiac catheterization. In addition, we briefly discuss the literature on management of this coronary anomaly.
authors.affiliation: Department of Medicine, Division of Cardiology, University of California Irvine Medical Center, Orange 92868-4080, USA.
authors.forename: Babak
authors.initials: B
authors.lastname: Kasravi
authors.forename: Cheryl L
authors.initials: CL
authors.lastname: Reid
authors.forename: Byron J
authors.initials: BJ
authors.lastname: Allen
mesh_terms: D000328:Adult; D003323:Coronary Aneurysm / Q000150:complications / Q000000981:diagnostic imaging; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D006801:Humans; D008297:Male; D016157:Vascular Fistula / Q000150:complications / Q000000981:diagnostic imaging*