Early Post-Operative Coronary Thrombosis Following Repair of a Proximal Coronary Artery Fistula

• Main Authors: Yashasvi Chugh, Bryan Lau, Cynthia C Taub
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2016-12-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: coronary artery aneurysm; heart transplant; thrombus formation
• Online Access: https://jcdr.net/articles/PDF/9106/22368_CE[EK]_F(GH)_PF1(PI_RK)_PFA(AK)_PF2(PAG).pdf

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.