ArticleEuropean heart journal. Case reports2025
The significance of investigation into underlying coronary artery fistula in patients with tricuspid valve endocarditis: a case report.
Article in European heart journal. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Coronary artery fistula (CAF) is an uncommon congenital heart disease (CHD). Most patients are asymptomatic, and CAFs are typically discovered incidentally on echocardiography or computed tomography coronary angiography (CTCA). Although previous reports have suggested an association between CAF and infective endocarditis, there are few reports on the coexistence of CAF and tricuspid valve infective endocarditis (TVIE). We report a rare case where a CAF was identified as the underlying CHD in TVIE using multimodal imaging. Both the CAF and TVIE were successfully treated surgically. Case summary: A Japanese woman in her 40 s who presented with a fever of 38°C that persisted for 4 days. Discussion: Careful investigation of the underlying CHD is necessary when TVIE is found. In patients with TVIE, multimodal imaging is useful for investigating underlying CAF and the direct association between TVIE and CAF. When multimodal imaging suggests a direct association between CAF and TVIE, surgical resection of both the TVIE and CAF is essential to prevent the recurrence of TVIE.
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