Author(s):
Dian Paramita Kartikasari, Achmad Lefi, Fajar Perdhana, Yan Efrata Sembiring
Email(s):
d.paramita.kartikasari@fk.unair.ac.id
DOI:
10.52711/0974-360X.2025.00842 
Address:
Dian Paramita Kartikasari1,2,3*, Achmad Lefi1,2, Fajar Perdhana2,4, Yan Efrata Sembiring2,5
1Department of Cardiology and Vascular Medicine Subspecialty Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
2Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
3Universitas Airlannga Hospital, Surabaya, Indonesia.
4Department of Anaesthesiology and Reanimation, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
5Department of Thoracic, Cardiac and Vascular Surgery, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
*Corresponding Author
Published In:
Volume - 18,
Issue - 12,
Year - 2025
ABSTRACT:
Background: Coronary artery fistulas (CAFs) are uncommon coronary anomalies that create left-to-right shunts and turbulent flow, predisposing to endothelial injury and, rarely, infective endocarditis (IE). Case: A 25-year-old woman presented with acute parietal cortical–subcortical infarction. Transthoracic echocardiography revealed mobile vegetations on the right coronary and non-coronary aortic cusps. Blood cultures yielded Gemella morbillorum. During surgery for aortic valve replacement, intraoperative transesophageal echocardiography (TEE) incidentally identified a 7-mm fistulous connection from the right coronary artery to the right atrium, which was closed surgically. Outcome: Post-operative recovery was uneventful with hemodynamic stability. Conclusion: This case underscores the importance of comprehensive imaging to detect concealed CAFs in young IE patients without classic risk factors. Turbulent shunting through a CAF may facilitate bacterial colonization and embolic complications; early surgical management of both valve pathology and fistulous tract can be curative.
Cite this article:
Dian Paramita Kartikasari, Achmad Lefi, Fajar Perdhana, Yan Efrata Sembiring. Right Coronary Artery-Right Atrial Fistula, Stroke and Infective Endocarditis in Young Women: A Case Report. Research Journal Pharmacy and Technology. 2025;18(12):5839-2. doi: 10.52711/0974-360X.2025.00842
Cite(Electronic):
Dian Paramita Kartikasari, Achmad Lefi, Fajar Perdhana, Yan Efrata Sembiring. Right Coronary Artery-Right Atrial Fistula, Stroke and Infective Endocarditis in Young Women: A Case Report. Research Journal Pharmacy and Technology. 2025;18(12):5839-2. doi: 10.52711/0974-360X.2025.00842 Available on: https://rjptonline.org/AbstractView.aspx?PID=2025-18-12-32
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