Early Post-Operative Coronary Thrombosis Following Repair of a Proximal Coronary Artery Fistula
OD17-OD18
Correspondence
Dr. Yashasvi Chugh,
Resident, Department of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine,
Bronx, New York-10461, USA.
E-mail: yashasvichugh@hotmail.com
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.