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Colossal left main to right atrium fistula ligation complicated by left circumflex STEMI. - 2021

Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006

Congenital left main (LM) coronary artery to right atrium fistulas with progression to aneurysm development are rare. Most patients remain asymptomatic, but for those with progressive symptoms, intervention is required. However, there are potential life-threatening complications associated with surgical intervention. We present a case of an extremely rare markedly aneurysmal LM to right atrial fistula treated with surgical ligation complicated by inferolateral ST-elevation myocardial infarction several days post-operatively treated successfully using mechanical aspiration thrombectomy, a stent-retriever, balloon angioplasty, and subsequent intravascular ultrasound-guided percutaneous coronary intervention with drug-eluting stent. Copyright (c) 2020 Wiley Periodicals LLC.


English

ISSN: 1522-1946

Standard No.: 10.1002/ccd.29333 [doi]

Subjects--Topical Terms:
*Drug-Eluting Stents
*Fistula
*ST Elevation Myocardial Infarction
Heart Atria/dg [Diagnostic Imaging]
Heart Atria/su [Surgery]
Humans
ST Elevation Myocardial Infarction/dg [Diagnostic Imaging]
ST Elevation Myocardial Infarction/et [Etiology]
ST Elevation Myocardial Infarction/su [Surgery]
Treatment Outcome

Subjects--Geographic Terms:
MedStar Heart & Vascular Institute
MedStar Washington Hospital Center

Index Terms--Occupation:
Medicine/General Internal Medicine

Index Terms--Function:
Case Reports