Acute Myocardial Infarction After Surgical Closure of Coronary Artery Fistula: Importance of Anticoagulant Therapy

Liping Meng; Peng Zhang; Fang Peng; Ping Wang

doi:10.1016/j.jaccas.2022.04.012

Acute Myocardial Infarction After Surgical Closure of Coronary Artery Fistula: Importance of Anticoagulant Therapy

JACC Case Rep. 2022 Jun 15;4(12):738-741. doi: 10.1016/j.jaccas.2022.04.012.

Authors

Liping Meng¹, Peng Zhang¹, Fang Peng¹, Ping Wang¹

Affiliation

¹ Department of Cardiology, Shaoxing People's Hospital, Shaoxing Hospital, Zhejiang University School of Medicine, Shaoxing, China.

Abstract

We present a case of a coronary arteriovenous fistula between the left circumflex (LCX) and the atrium with LCX ectasia. Four months after surgical closure of the fistula, the patient experienced acute myocardial infarction caused by thrombosis in the LCX. Antiplatelet drugs were replaced with anticoagulant agents, and the patient was followed up without adverse events. (Level of Difficulty: Advanced.).

Keywords: AMI, acute myocardial infarction; CAF, coronary arteriovenous fistula; LCX, left circumflex; TIMI, thrombolysis in myocardial infarction; anticoagulant therapy; coronary artery fistula; thrombosis.

Publication types

Case Reports