Coronary Artery Aneurysm and Subacute Bacterial Endarteritis

Case Studies1 July 1962Coronary Artery Aneurysm and Subacute Bacterial EndarteritisTHEOFILOS J. TSAGARIS, M.D., HANS H. HECHT, M.D., F.A.C.P.THEOFILOS J. TSAGARIS, M.D., HANS H. HECHT, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-57-1-116 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptRecent reviews dealing with congenital coronary arteriovenous aneurysms attest to the increasing interest in this malformation (1-5). Examples reported prior to 1947 were discovered only during post-mortem examination (6-10). Since that time it has become possible to demonstrate the presence of such abnormal communications by cardiac catheterization (1) and angiocardiography (2, 4, 5, 11). The clinical course of a coronary arteriovenous fistula may be complicated by the development of pulmonary hypertension (12), congestive heart failure (12, 13), or bacterial endarteritis (14-16). Only 3 possible instances of the last complication have been found in the available literature. This report describes a...References1. WALTHERSTARKEYZERVOPOLUSGIBBONS RJGWEGA: Coronary arteriovenous fistula. Clinical and physiologic report on two patients, with review of the literature. Amer. J. Med. 22: 213, 1957. CrossrefMedlineGoogle Scholar2. STEINBERGBALDWINDOTTER IJSCT: Coronary arteriovenous fistula. Circulation 17: 372, 1958. CrossrefMedlineGoogle Scholar3. EDWARDSGLADDINGWEIR JETCAB: Congenital communication between the right coronary artery and the right atrium. J. Thoracic Surg. 35: 662, 1958. CrossrefGoogle Scholar4. GASULARCILLAFELLLYNFIELDBICOFFLUAN BMRAEHJPLL: Congenital arteriovenous fistula. Clinical phonocardiographic, angiocardiographic, and hemodynamic studies in five patients. Pediatrics 25: 531, 1960. MedlineGoogle Scholar5. NUFFELDLESTERADAMSANDERSONLILLEHEIEDWARDS HNRGPRCCWJ: Congenital communication of a coronary artery with a cardiac chamber or the pulmonary trunk. Circulation 24: 171, 1961. CrossrefGoogle Scholar6. ABBOTT ME: Anomalies of the coronary arteries, in Osler's Modern Medicine, ed. in Philadelphia and New York, Lea & Febiger, Philadelphia, 1906, p. 420. Google Scholar7. HALPERT B: Arteriovenous communication between the right coronary artery and the coronary sinus. Heart 15: 129, 1929-30. Google Scholar8. LOWENHEIM I: Eine seltene Missbildung der Coronargefässe. Frankfurt. Z. Path. 43: 63, 1932. Google Scholar9. EMMINGER E: Arterio-venöses Aneurysma der rechten Herzkranzschlagader. Klin. Med. 2: 652, 1947. Google Scholar10. NAGOYATAKAHASHI MH: Aneurysma Serpentinum der Linken Koronararterie. Trans. Jap. Path. Soc. 22: 583, 1932. Google Scholar11. AMPLATZAGUIRRELILLEHEI KJCW: Coronary arteriovenous fistula into main pulmonary artery. J. A. M. A. 172: 1384, 1960. CrossrefMedlineGoogle Scholar12. DAVISONMCCRACKENMCILVEEN PHBHDJ: Congenital coronary arteriovenous aneurysm. Brit. Heart J. 17: 569, 1955. CrossrefMedlineGoogle Scholar13. VLADIVAROWEANGEVINE EGGDM: Large congenital aneurysm of the right coronary artery. Arch. Path. 63: 168, 1947. Google Scholar14. TREVOR RS: Aneurysm of the descending branch of the right coronary artery, situated in the wall of the right ventricle and opening into the cavity of the ventricle, associated with great dilatation of the right coronary artery and non-valvular infective endocarditis. Proc. Roy. Soc. Med. V: 20, 1911. Google Scholar15. PAULSWEETWHITE ORHPD: Coronary arteriovenous fistula. Case report. Amer. Heart J. 37: 441, 1949. CrossrefMedlineGoogle Scholar16. ESPINOVELAZQUEZFUENMAYOR VJTA: Amplia communicatión congenita de la aorta con el ventriculo derecho a través de la arteria coronaria derecha anomala. Arch. Inst. Cardiol. Mex. 21: 686, 1951. MedlineGoogle Scholar17. ELDRIDGESELZERHULTGREN FAH: Stenosis of a branch of the pulmonary artery. An additional cause of continuous murmurs over the chest. Circulation 15: 865, 1957. CrossrefMedlineGoogle Scholar18. WILLIAMSLANGEHECHT CBRLHH: Postvalvular stenosis of the pulmonary artery. Circulation 16: 195, 1957. CrossrefMedlineGoogle Scholar19. LEWISDEITZWALLACEBROWN DHGWJDJR: Intracardiac phonocardiography in man. Circulation 16: 764, 1957. CrossrefMedlineGoogle Scholar20. BARKER PS: A clinical study of subacute bacterial infection confined to the right side of the heart or the pulmonary artery. Amer. Heart J. 37: 1054, 1949. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: THEOFILOS J. TSAGARIS, M.D.; HANS H. HECHT, M.D., F.A.C.P.Affiliations: Salt Lake City, UtahFrom the Department of Internal Medicine, University of Utah College of Medicine, Salt Lake City, Utah.Supported by grants from the Utah Heart Association, and by United States Public Health Service Training Grant HTS-5150.Requests for reprints should be addessed to Hans H. Hecht, M.D., Department of Internal Medicine, Salt Lake County General Hospital, Salt Lake City 15, Utah. 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