Late-term myocardial infarction after surgical ligation of a giant coronary artery fistula.
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.
Goldberg
Steven L
SL
West Los Angeles Veterans Administration Medical Center, Los Angeles, CA, USA. stevgold@u.washington.edu
Manchester
Joel
J
Laks
Hillel
H
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*