title: Late-term myocardial infarction after surgical ligation of a giant coronary artery fistula.
abstract: A case is presented of a patient with recurrent myocardial infarctions after surgical treatment of a giant coronary artery fistula. The etiology was due to thrombus development in a large blind pouch, with propagation into more proximal vessels. Stenting of the proximal vessel provided temporary benefit, but recurrence eventually required surgical closure of the blind pouch.
authors.affiliation: West Los Angeles Veterans Administration Medical Center, Los Angeles, CA, USA. stevgold@u.washington.edu
authors.forename: Steven L
authors.initials: SL
authors.lastname: Goldberg
authors.forename: Joel
authors.initials: J
authors.lastname: Manchester
authors.forename: Hillel
authors.initials: H
authors.lastname: Laks
mesh_terms: D000328:Adult; D003327:Coronary Disease / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000150:complications*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D012008:Recurrence; D015607:Stents; D016157:Vascular Fistula / Q000601:surgery*