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Coronary Artery Aneurysm and Subacute Bacterial Endarteritis

Ann Intern Med. 1962;57(1):116-121. doi:10.7326/0003-4819-57-1-116
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Recent 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


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