scholarly journals The curious case of coronary cameral fistula with infective endocarditis: A rare harbinger of a common clinical entity

2021 ◽  
Vol 29 (2) ◽  
pp. 248-251
Author(s):  
Deepi P. Agrawal ◽  
Abhishek S. Joshi ◽  
Sunay NM
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Computed Tomography Angiography ◽  
Right Atrium ◽  
Rare Entity ◽  
Cardiac Chamber ◽  
Coronary Cameral Fistula ◽  
The Right

Coronary cameral fistula is a rare entity characterized by an abnormal communication between coronary artery and a cardiac chamber. It is congenital and asymptomatic in the majority of patients. A 29-year-old male patient presented with fever and dyspnea for eight months. A coronary cameral fistula arising from the right coronary artery to the right atrium complicating with aortic valve endocarditis was detected on computed tomography angiography. The rarity of the condition and the nuanced complication led to very individualized course of treatment which was optimal for this patient.

scholarly journals Coronary cameral fistula to right atrium in a 10 year old male: a case report

2019 ◽  
Vol 6 (6) ◽  
pp. 2222
Author(s):  
M. Javed Banday ◽  
Sudesh Kumar ◽  
Dhananjay Bansal ◽  
Rahul Bhusan ◽  
Narender Singh Jhajhria ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Coronary Arteries ◽  
Right Atrium ◽  
Early Life ◽  
Cardiac Anomaly ◽  
Cardiac Chamber ◽  
Early Evaluation ◽  
Surgical Closure ◽  
Coronary Cameral Fistula

A coronary cameral fistula is a rare cardiac anomaly and involves an abnormal communication between one of the coronary arteries and a cardiac chamber. In most of cases, it is a congenital lesion and is asymptomatic in early life. Once symptoms appear, patient warrants early evaluation and treatment. Presently, CT Angiography is the best investigation for diagnosing the disease and the best treatment modality is surgical closure. We present a case of a 10 year old male with large coronary cameral fistula from right coronary artery to right atrium, who was symptomatic and was operated for the same.

scholarly journals ST segment elevation caused by ostial right coronary artery obstruction in infective endocarditis: a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Alexander Bolton ◽  
Georges Hajj ◽  
Laila Payvandi ◽  
Christopher Komanapalli
Keyword(s):  
Coronary Artery ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Right Coronary Artery ◽  
Tertiary Care ◽  
Care Facility ◽  
Coronary Syndrome ◽  
St Segment ◽  
Coronary Embolization ◽  
The Right

Abstract Background Acute coronary syndrome (ACS) is a rare, but serious complication of infective endocarditis, and diagnosis can be challenging given clinical overlap with other syndromes. A rare cause of ACS in infective endocarditis is mechanical obstruction of the coronary artery. We present the case of a patient with infective endocarditis who developed ST segment myocardial infarction due to occlusion of the right coronary artery ostium by a vegetation. Case presentation A 53-year-old female with no prior history of coronary artery disease was transferred to our tertiary care facility for evaluation and treatment of suspected myopericarditis. After transfer she developed inferior ST segment elevations on ECG along with fever and positive blood cultures for methicillin susceptible Staphylococcus aureus (MSSA). A transesophageal echocardiogram revealed a vegetation on the aortic valve that intermittently prolapsed into the right coronary ostium. She decompensated from a hemorrhagic brain infarct and subsequently transferred to the intensive care unit. She underwent surgical aortic valve debridement without prior cardiac catheterization given the danger of septic coronary embolization. After a prolonged hospital course with multiple complications, she was able to discharge home, with no neurologic deficits on follow-up. Conclusions ACS presents a diagnostic and therapeutic challenge in the setting of infective endocarditis. Careful attention to the history, physical exam and testing can help differentiate infective endocarditis from other conditions sharing similar symptoms. Traditional atherosclerotic ACS management may cause great harm when treating patients with infective endocarditis. The presence of a multidisciplinary endocarditis team is ideal to provide the best clinical outcomes for this population.

scholarly journals Aortic Valve Endocarditis Complicated by ST-Elevation Myocardial Infarction

2014 ◽  
Vol 41 (6) ◽  
pp. 668-670 ◽  
Author(s):  
Benjamin E. Jenny ◽  
Yassar Almanaseer
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Right Coronary Artery ◽  
Medical Literature ◽  
Abscess Formation ◽  
Clinical Event ◽  
St Elevation ◽  
The Right

Infective endocarditis complicated by abscess formation and coronary artery compression is a rare clinical event with a high mortality rate, and diagnosis requires a heightened degree of suspicion. We present the clinical, angiographic, and echocardiographic features of a 73-year-old woman who presented with dyspnea and was found to have right coronary artery compression that was secondary to abscess formation resulting from diffuse infectious endocarditis. We discuss the patient's case and briefly review the relevant medical literature. To our knowledge, this is the first reported case of abscess formation involving a native aortic valve and the right coronary artery.

scholarly journals Prevalence and Spectrum of Coronary Anomalies Detected on Coronary Computed Tomography Angiography: A single centre experience in Oman

2019 ◽  
Vol 19 (2) ◽  
pp. 108
Author(s):  
Rashid S. Al-Umairi ◽  
Faiza Al-Kindi ◽  
Saqar Al-Tai
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Coronary Sinus ◽  
Computed Tomography Angiography ◽  
Coronary Computed Tomography Angiography ◽  
Coronary Artery Fistula ◽  
Coronary Computed Tomography ◽  
Single Centre Experience ◽  
Life Threatening ◽  
The Right

ABSTRACT: Objectives: Coronary artery anomalies (CAAs) are uncommon congenital abnormalities with a prevalence ranging from 0.2–2%. CAAs can be asymptomatic or less commonly present with life-threatening symptoms. This study aimed to investigate the prevalence and spectrum of CAAs in patients who underwent coronary computed tomography angiography (CCTA) in Oman. Methods: This retrospective study was conducted at the National Heart Centre, Muscat, Oman between September 2012 and August 2018. All consecutive patients who had undergone CCTA were included. Results: A total of 4,445 patients were included in this study. Of these, 59 patients (1.3%) were diagnosed with CAAs with a mean age of 52.6 years (range: 12–80 years) and an equal gender distribution. Among the patients with CAAs, the majority (69.5%) had anomalous origins from the opposite or non-coronary sinus. Right coronary artery arising from the left coronary sinus was the most common type (33.9%). Fewer patients (18.6%) had left circumflex arising from the right coronary sinus (RCS). Seven patients (11.9%) had left main arising from the RCS. Other CAAs were in the dual left anterior descending artery (8.5%), high coronary artery take-off (6.8%), single coronary ostia (6.8%) and coronary artery fistula (6.8%). Conclusion: The prevalence of CAAs was 1.3% which is similar to the literature.Keywords: Coronary Vessel Anomalies; Computed Tomography Angiography; Prevalence; Oman.

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