Colossal left main to right atrium fistula ligation complicated by left circumflex STEMI.
Citation: Catheterization & Cardiovascular Interventions. 97(6):1218-1220, 2021 05 01.PMID: 33068334Institution: MedStar Heart & Vascular Institute | MedStar Washington Hospital CenterDepartment: Medicine/General Internal MedicineForm of publication: Journal ArticleMedline article type(s): Case ReportsSubject headings: *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 OutcomeYear: 2021Local holdings: Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006ISSN:- 1522-1946
- Medranda, Giorgio A Waksman, Ron:
- https://orcid.org/0000-0001-9804-3786 https://orcid.org/0000-0002-4063-9226 https://orcid.org/0000-0001-9804-3786 https://orcid.org/0000-0002-4063-9226 Medranda, Giorgio A Waksman, Ron:
- https://orcid.org/0000-0001-9804-3786 https://orcid.org/0000-0002-4063-9226 https://orcid.org/0000-0001-9804-3786 https://orcid.org/0000-0002-4063-9226
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 33068334 | Available | 33068334 |
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.
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