Early Post-Operative Coronary Thrombosis Following Repair of a Proximal Coronary Artery Fistula
Published: December 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/22368.9106
Yashasvi Chugh, Bryan Lau, Cynthia C Taub
1. Resident, Department of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, New York, USA.
2. Resident, Department of Internal Medicine, Harbor UCLA Medical Center, Torrance, California, USA.
3. Director, Non-invasive Cardiology, Montefiore/Einstein, Professor of Clinical Medicine, Albert Einstein College of Medicine, Bronx, New York, USA.
Correspondence
Dr. Yashasvi Chugh,
Resident, Department of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine,
Bronx, New York-10461, USA.
E-mail: yashasvichugh@hotmail.com
Patients with aneurysmal coronary artery fistulas are often a treatment challenge. We hereby, report a case of aneurysmal left main coronary artery to coronary sinus fistula repair, complicated by an early post-operative thrombosis of the left main coronary artery, necessitating an orthotropic heart transplant. Routine use of peri-procedural and long-term anti-coagulation is usually not a standard recommendation in these cases; however, early institution of the same may prevent flow stasis, thrombus formation and unfavourable outcomes pre- or post-operatively.
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