A Case of Congenital Coronary Arteriovenous Fistula Presented as Congestive Heart Failure and Aortic Valve Infective Endocarditis

We describe a 66-year-old woman with infective endocarditis due toCardiobacterium hominis whose condition, complicated by severe aortic regurgitation and congestive heart failure, necessitated aortic valve replacement despite treatment with ceftriaxone followed by ciprofloxacin. The blood isolate of C. hominis produced β-lactamase and exhibited high-level resistance to penicillin (MIC, ≧256 μg/ml) and reduced susceptibility to vancomycin (MIC, 8 μg/ml).

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Dressler’s like pericarditis with pericardial effusion is the presenting feature of infective endocarditis

Nepalese Heart Journal ◽

10.3126/njh.v15i1.19716 ◽

2018 ◽

Vol 15 (1) ◽

pp. 43-44

Author(s):

Biswajit Majumder ◽

Sharmistha Chatterjee ◽

Rakesh Sarkar ◽

Pritam Kumar Chatterjee

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Renal Failure ◽

Infective Endocarditis ◽

Pericardial Effusion ◽

Aortic Valve ◽

Medical Therapy ◽

Surgical Intervention ◽

Autoimmune Reaction ◽

Pericardial Involvement

Summary: Infective Endocarditis (IE) being primarily the disease of valves and endocardium may occasionally be complicated with pericardial involvement in the form of pericarditis and pericardial effusion (PE). Pericarditis may be observed incidentally at the time of diagnosing IE and rarely does it remain the presenting feature of IE .The pericardial effusion may be attributed to ruptured aortic abscess extending into the pericardial space, autoimmune reaction, renal failure, HIV and congestive heart failure (CHF). Here we are presenting a 42 year old male having IE with vegetation in both mitral and aortic valve along with large sterile pericardial effusion was treated successfully by the medical therapy alone with favorable outcome. IE presenting with large exudative pericardial effusion being treated without any surgical intervention with substantial resolution of effusion has not been reported so far in medical literature.Nepalese Heart Journal 2017;12(2): 43-44.

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Coronary arteriovenous fistula presenting as congestive heart failure

Catheterization and Cardiovascular Diagnosis ◽

10.1002/ccd.1810260106 ◽

1992 ◽

Vol 26 (1) ◽

pp. 19-25 ◽

Cited By ~ 27

Author(s):

Aaron D. Kugelmass ◽

Warren J. Manning ◽

Robert N. Piana ◽

Ronald M. Weintraub ◽

Donald S. Baim ◽

...

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Arteriovenous Fistula ◽

Coronary Arteriovenous Fistula

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Diagnosis and Management of Congenital Coronary Arteriovenous Fistula in the Pediatric Patients Presenting Congestive Heart Failure and Myocardial Ischemia

Yonsei Medical Journal ◽

10.3349/ymj.2009.50.1.95 ◽

2009 ◽

Vol 50 (1) ◽

pp. 95 ◽

Cited By ~ 6

Author(s):

Meng-Luen Lee ◽

Ming Chen

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Myocardial Ischemia ◽

Arteriovenous Fistula ◽

Pediatric Patients ◽

Diagnosis And Management ◽

Coronary Arteriovenous Fistula

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Early Surgical Intervention for Infective Endocarditis

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849230201000403 ◽

2002 ◽

Vol 10 (4) ◽

pp. 298-301 ◽

Cited By ~ 1

Author(s):

Hong Sheng Zhu ◽

Pei Yan Yao ◽

Jia Hao Zheng ◽

A Thomas Pezzella

Keyword(s):

Heart Failure ◽

Congestive Heart Failure ◽

Heart Disease ◽

Infective Endocarditis ◽

Complex Disease ◽

Surgical Intervention ◽

Elective Surgery ◽

Postoperative Bleeding ◽

Arterial Embolization ◽

Early Surgical Intervention

Infective endocarditis remains a serious and complex disease with significant morbidity and mortality. Sixty cases of infective endocarditis were retrospectively reviewed, consisting of 41 males and 19 females aged 7 to 50 years (mean, 30 years). Congenital heart disease was diagnosed in 19 of the patients and rheumatic heart disease in 41. Congestive heart failure occurred in 36 and systemic embolism in 8 cases. Blood cultures were positive in only 21.7% of the cases, while vegetations were detected by 2-dimensional echocardiography in 70%. Elective surgery was performed in 57 patients and emergent operation for systemic arterial embolization and/or intractable congestive heart failure in 3 patients. Two patients required reoperation for postoperative bleeding. All but 2 patients had been followed up for 6 to 160 months with no evidence of reinfection. Three patients with mechanical valve implantation later died of intracranial bleeding due to over-anticoagulation. The remaining 55 resumed normal activity. The encouraging outcomes were the result of an aggressive diagnostic approach and early surgical intervention.

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