Successful repair for a giant coronary artery aneurysm with coronary arteriovenous fistula complicated by both right- and left-sided infective endocarditis.
We report a rare case of a 65-year-old woman who underwent an emergent lifesaving heart operation for an undiagnosed right coronary artery aneurysm with a coronary arteriovenous fistula complicated by active infective endocarditis, which affected the aortic valve, mitral valve, and coronary sinus. We performed direct closure of the coronary arteriovenous fistula, ligation of the right coronary artery aneurysm, double coronary artery bypass grafting, and double valvular replacement. Five years after the operation, she had no sign of congestive heart failure or infection, and was not receiving antibiotics.
Umezu
Kentaro
K
Department of Cardiovascular Surgery, Ageo Central General Hospital, Ageo, Saitama, Japan. kentaro.umezu@gmail.com
Hanayama
Naoji
N
Toyama
Akihiko
A
Hobo
Kyoko
K
Takazawa
Arifumi
A
D000368:Aged; D001021:Aortic Valve / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D001164:Arteriovenous Fistula / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology / Q000601:surgery*; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008026:Ligation; D008943:Mitral Valve / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D013296:Streptococcus pneumoniae / Q000302:isolation & purification; D016896:Treatment Outcome