Chugh Yashasvi, Lau Bryan, Taub Cynthia C
Resident, Department of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine , Bronx, New York, USA .
Resident, Department of Internal Medicine, Harbor UCLA Medical Center , Torrance, California, USA .
J Clin Diagn Res. 2016 Dec;10(12):OD17-OD18. doi: 10.7860/JCDR/2016/22368.9106. Epub 2016 Dec 1.
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.
患有冠状动脉瘤样瘘的患者往往是治疗上的挑战。我们在此报告一例左冠状动脉主干至冠状窦的动脉瘤样瘘修复病例，该病例术后早期发生左冠状动脉主干血栓形成，需要进行原位心脏移植。在这些病例中，常规使用围手术期和长期抗凝通常不是标准建议；然而，早期使用抗凝可能会预防术前或术后的血流淤滞、血栓形成及不良后果。
