Infective Endocarditis Related to a Coronary Artery Fistula with an Unusual Localization and Ectatic Coronary Arteries (pages 711–715)
Demet Menekse Gerede, Aynur Acibuca, Caglar Uzun, Huseyin Goksuluk, Aydan Ongun, Mustafa Kilickap and Cetin Erol
Article first published online: 31 OCT 2014 | DOI: 10.1111/echo.12822
Coronary artery fistulas (CAF) are a rare congenital anomaly. They are usually asymptomatic but can present with clinically significant complications. We describe a patient presenting infective endocarditis involving a coronary artery fistula between the left ventricle and a giant circumflex coronary artery. Diagnosis was first made by echocardiography and confirmed by coronary computed tomography (CT). While discussing this case, we also review the literature on coronary artery fistula and coronary artery ectasia.