title: Spontaneous Thrombosis of a Left Circumflex Artery Fistula Draining Into the Coronary Sinus.
abstract: A 28-year-old woman was referred to our institution with sudden onset chest pain at rest. Electrocardiography revealed an inferoposterior ST-segment elevation myocardial infraction. The patient proceeded to cardiac catheterization, which revealed a large ectatic left circumflex coronary artery with an apparent fistula connecting it to the coronary sinus. Follow-up angiography revealed that the fistula was no longer patent, spontaneously thrombosed, and resolved without requiring surgery.
authors.affiliation: Department of Medicine, Division of Cardiology, Queen's University, Kingston, Ontario, Canada.
authors.forename: Mohammad A
authors.initials: MA
authors.lastname: Al-Turki
authors.affiliation: Department of Medicine, Division of Cardiology, Queen's University, Kingston, Ontario, Canada.
authors.forename: Daniel
authors.initials: D
authors.lastname: Patton
authors.affiliation: Division of Cardiology, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Crean
authors.affiliation: Division of Cardiology, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Eric
authors.initials: E
authors.lastname: Horlick
authors.affiliation: Department of Radiology, Queen's University, Kingston, Ontario, Canada.
authors.forename: Rob
authors.initials: R
authors.lastname: Dhillon
authors.affiliation: Department of Medicine, Division of Cardiology, Queen's University, Kingston, Ontario, Canada amerschedule@gmail.com.
authors.forename: Amer M
authors.initials: AM
authors.lastname: Johri
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D054326:Coronary Sinus; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis; D004562:Electrocardiography; D005260:Female; D005402:Fistula / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology*
keywords: adult congenital heart disease; coronary artery anomaly; fistula; myocardial infarction