title: Coronary artery fistula associated with mitral valve endocarditis.
abstract: Coronary artery fistulas are rare, and the further development of mitral valvular insufficiency and endocarditis is even more uncommon. We report a case of endocarditis secondary to a congenital coronary artery fistula arising from the right coronary artery and draining into the left ventricle. Vegetations were found on the mitral valve leaflet. The fistula was successfully treated with surgery, and the endocarditis, with antibiotic therapy. Surgical repair is the optimal treatment for coronary artery fistula, even in asymptomatic patients.
authors.affiliation: Department of Cardiothoracic Surgery, Huashan Hospital, Affiliated with Fudan University, Shanghai, China.
authors.forename: Meng
authors.initials: M
authors.lastname: Shi
authors.forename: Yiqing
authors.initials: Y
authors.lastname: Wang
authors.forename: Liewen
authors.initials: L
authors.lastname: Pang
authors.forename: Jiechun
authors.initials: J
authors.lastname: Huang
mesh_terms: D006348:Cardiac Surgical Procedures; D003324:Coronary Artery Disease / Q000151:congenital / Q000601:surgery*; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000209:etiology*; D005402:Fistula / Q000151:congenital / Q000601:surgery*; D005500:Follow-Up Studies; D006349:Heart Valve Diseases / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000209:etiology; D056346:Sternotomy; D016896:Treatment Outcome; D055815:Young Adult