TY  - BOOK
AU  - Bernardo, Nelson L
AU  - Lance, Shannon
AU  - Medranda, Giorgio A
AU  - Waksman, Ron
TI  - Colossal left main to right atrium fistula ligation complicated by left circumflex STEMI
SN  - 1522-1946
PY  - 2021///
KW  - *Drug-Eluting Stents
KW  - *Fistula
KW  - *ST Elevation Myocardial Infarction
KW  - Heart Atria/dg [Diagnostic Imaging]
KW  - Heart Atria/su [Surgery]
KW  - Humans
KW  - ST Elevation Myocardial Infarction/dg [Diagnostic Imaging]
KW  - ST Elevation Myocardial Infarction/et [Etiology]
KW  - ST Elevation Myocardial Infarction/su [Surgery]
KW  - Treatment Outcome
KW  - MedStar Heart & Vascular Institute
KW  - MedStar Washington Hospital Center
KW  - Medicine/General Internal Medicine
KW  - Case Reports
N1  - Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006
N2  - 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
UR  - https://dx.doi.org/10.1002/ccd.29333
ER  -