title: Death related to coronary artery fistula after rupture of an aneurysm to the coronary sinus.
abstract: Large coronary fistulas are considered to cause myocardial ischemia due to diversion of the coronary blood flow. In this case the authors report the reverse effect--the spontaneous closure of a large fistulation between the left circumflex artery and the coronary sinus evoked angina pectoris in a middle aged man, who died several years later. Postmortem examination revealed a coronary aneurysm that had ruptured and dissected into the coronary sinus and finally thrombosed. The origin of the aneurysm could be congenital but perhaps also represents a healed stage of Kawasaki disease.
authors.affiliation: Department of Forensic Medicine, Karolinska Institute, Stockholm, Sweden.
authors.forename: J
authors.initials: J
authors.lastname: Rajs
authors.forename: L A
authors.initials: LA
authors.lastname: Brodin
authors.forename: I
authors.initials: I
authors.lastname: Hertzfeld
authors.forename: F F
authors.initials: FF
authors.lastname: Larsen
mesh_terms: D001344:Autopsy; D003323:Coronary Aneurysm / Q000473:pathology*; D017023:Coronary Angiography; D003645:Death, Sudden; D003937:Diagnosis, Differential; D005554:Forensic Medicine; D006801:Humans; D008297:Male; D008875:Middle Aged; D009080:Mucocutaneous Lymph Node Syndrome / Q000175:diagnosis; D012422:Rupture, Spontaneous