Endocarditis of a congenital coronary fistula in a child

• Published in: Cardiology in the young Vol. 28; no. 2; pp. 334 - 337
• Main Authors: Krasemann, Thomas, van Beynum, Ingrid M., Frohn-Mulder, Ingrid M. E., Dalinghaus, Michiel
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.02.2018
• Subjects: Antibiotics; Atrium; Catheters; Child; Congenital diseases; Coronary Angiography; Coronary artery; Coronary Sinus - abnormalities; Coronary Sinus - diagnostic imaging; Coronary Vessel Anomalies - complications; Coronary Vessel Anomalies - diagnosis; Coronary Vessel Anomalies - therapy; Coronary vessels; Coronary Vessels - diagnostic imaging; Echocardiography; Electrocardiography; Embolization, Therapeutic - methods; Endocarditis; Endocarditis - diagnosis; Endocarditis - etiology; Fever; Fistula; Fistulae; Heart Atria - abnormalities; Heart Atria - diagnostic imaging; Heart failure; Humans; Male; Medical imaging; Streptococcus infections; Tomography, X-Ray Computed; Vascular Fistula - complications; Vascular Fistula - congenital; Vascular Fistula - therapy; Veins & arteries; Netherlands; Minnesota; California; United States > US; endocarditis; interventional treatment; Coronary artery fistula; child
• ISSN: 1047-9511; 1467-1107; 1467-1107
• DOI: 10.1017/S1047951117001846

Endocarditis of congenital coronary fistulas in the cardiac chambers is rare, especially in the paediatric age group. We describe the case of a 9-year-old boy with a fistula from the dilated right coronary artery to the junction of the superior caval vein to the right atrium, complicated by endocarditis. Treatment consisted of 6 weeks of antibiotics and interventional closure of the fistula 3 months later with an Amplatzer vascular plug.