Congenital Coronary Artery Fistula Associated with Infective Endocarditis of the Mitral Valve
10.4326/jjcvs.37.264
- VernacularTitle:感染性心内膜炎を合併した冠動脈瘻に対し，僧帽弁形成術および冠動脈瘻閉鎖術を施行した1例
- Author:
Masahiro Ohno
;
Tadashi Omoto
;
Makoto Mohri
;
Masaomi Fukuzumi
;
Masaya Ohi
;
Takahisa Okayama
;
Noboru Ishikawa
;
Takeo Tedoriya
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2008;37(5):264-267
- CountryJapan
- Language:Japanese
-
Abstract:
A 54-year-old woman complained of prolonged fever. Echocardiography showed severe mitral regurgitation with vegetation, and computed tomography showed right coronary artery (RCA) fistula to the coronary sinus (CS). Blood culture revealed Strep. viridans, thus a diagnosis of active infective endocarditis was established. The patient underwent urgent surgery. Surgical findings showed that vegetation was located in A3 to P3 of the mitral valve. The patient underwent mitral valve repair using a glutalualdehyde-treated autologous pericardial patch and artificial chordea. Epicardial ligation for fistula was performed. Her postoperative course was uneventful.
