Deepi P. AGRAWAL, Abhishek S. JOSHI, Sunay NAVILUR MAHESH

Enfektif endokardit ile seyreden ilginç bir koroner kameral fistül olgusu: Sık görülen klinik bir durumun habercisi

Koroner kameral fistül, koroner arter ve kalp boşluğu arasındaki anormal bağlantılar ile karakterize, nadir bir durumdur. Hastaların büyük bir çoğunluğunda doğumsal ve asemptomatiktir. Yirmi dokuz yaşında erkek hasta, sekiz aydır devam eden ateş ve nefes darlığı ile başvurdu. Bilgisayarlı tomografi anjiyografide sağ atriyuma doğru, sağ koroner arterden köken alan ve aort kapak endokarditi ile seyreden bir koroner kameral fistül izlendi. Bu durumun nadir görülmesi ve incelikli komplikasyonu, hasta için ideal olan, son derece kişiselleştirilmiş bir tedavi sürecine yol açtı.

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

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.

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