title: Infective endocarditis related to a coronary artery fistula with an unusual localization and ectatic coronary arteries.
abstract: Coronary artery fistulas (CAF) are a rare cardiac anomaly that can be either congenital or acquired. CAFs have clinical significance because of complications such as dyspnea on exertion, congestive heart failure, and cardiac tamponade. The literature also contains case reports of CAF presenting as bacterial endocarditis. We describe a 31-year-old man who presented with native valve infective endocarditis related to an unusual form of a CAF between the circumflex coronary artery and left ventricle. He also had giant coronary arteries, which were imaged with computed tomography angiography and transesophageal echocardiography. The diameter of the circumflex coronary artery and left main coronary artery was measured as 19 mm. Surgical intervention for heart valves was performed because of vegetations resistant to continued antibiotic treatment. At the same time, the CAF was treated with surgery.
authors.affiliation: Department of Cardiology, Ankara University School of Medicine, Ankara, Turkey.
authors.forename: Demet Menekse
authors.initials: DM
authors.lastname: Gerede
authors.forename: Aynur
authors.initials: A
authors.lastname: Acibuca
authors.forename: Caglar
authors.initials: C
authors.lastname: Uzun
authors.forename: Huseyin
authors.initials: H
authors.lastname: Goksuluk
authors.forename: Aydan
authors.initials: A
authors.lastname: Ongun
authors.forename: Mustafa
authors.initials: M
authors.lastname: Kilickap
authors.forename: Cetin
authors.initials: C
authors.lastname: Erol
mesh_terms: D000328:Adult; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000209:etiology*; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods; D004696:Endocarditis / Q000000981:diagnostic imaging / Q000209:etiology*; D006352:Heart Ventricles / Q000002:abnormalities* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male
keywords: coronary artery fistula; giant coronary artery; infective endocarditis