• J Clin Diagn Res · Dec 2016

    Case Reports

    Early Post-Operative Coronary Thrombosis Following Repair of a Proximal Coronary Artery Fistula.

    • Yashasvi Chugh, Bryan Lau, and Cynthia C Taub.
    • Resident, Department of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine , Bronx, New York, USA .
    • J Clin Diagn Res. 2016 Dec 1; 10 (12): OD17-OD18.

    AbstractPatients 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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