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Right Coronary Artery to Left Ventricular Fistula Associated with Infective Endocarditis of the Mitral Valve

  • Ahn, Dae Sung (Division of Cardiology, Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital) ;
  • Chung, Jae Hoon (Division of Cardiology, Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital) ;
  • Kim, Yu Na (Division of Cardiology, Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital) ;
  • Oh, Young Soo (Division of Cardiology, Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital) ;
  • Lim, Dal Soo (Division of Cardiology, Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital) ;
  • Choi, Rak Kyeong (Division of Cardiology, Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital)
  • Published : 2013.04.30

Abstract

A 27-year-old man with bacterial endocarditis of the mitral valve and embolic episodes was bound to have a large right coronary artery fistula communicating with the left ventricle, immediately inferior to the posterior mitral annulus. The perforation of the posterior leaflet and coronary arteriovenous fistula was identified using two-dimensional Doppler echocardiography. The diagnosis was confirmed by coronary angiography, and the patient underwent a successful operation.

Keywords

References

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