Infective Endocarditis of the Left Main to Right Atrial Coronary Cameral Fistula
| Autor: | Ramesh Chandra Mishra, Ramachandra Barik, Amar N. Patnaik |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Fistula Case Report 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine Ductus arteriosus medicine Endocarditis Coronary cameral fistula Radiology Nuclear Medicine and imaging Blood culture medicine.diagnostic_test business.industry infective endocarditis medicine.disease surgical closure Surgery medicine.anatomical_structure 030228 respiratory system Infective endocarditis Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business Vegetation (pathology) Artery |
| Zdroj: | Journal of Cardiovascular Echography |
| ISSN: | 2347-193X 2211-4122 |
| Popis: | A 7-year-old female child presented with pyrexia of unknown origin. She had received an empirical regimen of antibiotic for possible endocarditis. Evaluation included multiple imaging supports and blood culture. She had left main coronary artery to right atrium coronary cameral fistula, restricted patent ductus arteriosus, vegetation at the right atrial exit of fistula and negative blood culture. Ongoing fever more than 2 weeks, oscillating vegetation in the echo and histopathological evidence of healing vegetation suggested definite diagnosis of infective endocarditis. She was treated successfully by surgical closure of fistula from the right atrial approach. Device closure in this case would have resulted in a large residual cul-de-sac with or without tiny residual high-velocity jets, either being a threat for future enlargement, rupture of the residual aneurysmal sac, thromboembolism, prolonged anticoagulation, and infective endocarditis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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