Acquired coronary artery fistula: A sign of mural thrombus

Abstract

This is a case report documenting an acquired coronary artery fistula from the left anterior descending artery through a mural thrombus into the left ventricle by serial coronary arteriography. This abnormality may be an early clue to mural thrombus formation and help provide guidance in making therapeutic anticoagulation decisions.

Acquired postoperative coronary arteriovenous fistula

“…Over 30 cases have been reported in the English literature [1,. Most of these cases are associated with penetrating or blunt trauma to the chest except 5 iatrogenic cases [1,5,8,10,15], 3 cases associated with myocardial infarction [7,11,12], and one case following rupture of an aneurysm of the sinus node artery [ 141. All the iatrogenic cases involved the right coronary artery except one, an acquired left ventricular to coronary sinus fistula [ …”

Acquired Coronary Angiogenesis after Myocardial Infarction

“…Formation of coronary artery microvascu lar fistulas has been reported in only a few patients after myocardial infarction [1][2][3][4][5]. These microvascular communications proba bly arise from the vascular endothelium and represent acquired coronary angiogenesis, also called coronary neovascularization.…”