AI Article Synopsis

  • Coronary cameral fistulas are unusual connections between coronary arteries and heart chambers that can lead to complications, despite often being asymptomatic.
  • These fistulas can create high-speed blood flow, increasing the risk of infections like endocarditis.
  • The paper details a rare case where a patient with a coronary cameral fistula developed infective endocarditis, indicated by a brain hemorrhage caused by a mycotic aneurysm, affecting the mitral papillary muscle region.

Article Abstract

Coronary cameral fistulas are rare anomalous connections between coronary circulation and cardiac chambers. Coronary cameral fistulas are often asymptomatic but may cause volume overload on impacted chambers, and also create high velocity turbulent diastolic flow which may predispose patients to endocarditis. This paper presents a unique case of infective endocarditis revealed by intracerebral hemorrhage with a mycotic aneurysm in a patient who was found to have a nonvalvular infective endocarditis located on the mitral anterolateral papillary muscle, at the ventricular site of entrance of a large coronary cameral fistula.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442346PMC
http://dx.doi.org/10.1016/j.jaccas.2024.102552DOI Listing

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