title: Early Post-Operative Coronary Thrombosis Following Repair of a Proximal Coronary Artery Fistula.
abstract: Patients 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.
authors.affiliation: Resident, Department of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine , Bronx, New York, USA .
authors.forename: Yashasvi
authors.initials: Y
authors.lastname: Chugh
authors.affiliation: Resident, Department of Internal Medicine, Harbor UCLA Medical Center , Torrance, California, USA .
authors.forename: Bryan
authors.initials: B
authors.lastname: Lau
authors.affiliation: Director, Non-invasive Cardiology, Montefiore/Einstein, Professor of Clinical Medicine, Albert Einstein College of Medicine , Bronx, New York, USA .
authors.forename: Cynthia C
authors.initials: CC
authors.lastname: Taub
keywords: Coronary artery aneurysm; Heart transplant; Thrombus formation