Key result
An acquired coronary artery fistula can serve as an early angiographic clue to mural thrombus formation, helping to guide therapeutic anticoagulation decisions.
An acquired coronary artery fistula may be an early angiographic clue to mural thrombus formation, potentially guiding therapeutic anticoagulation decisions.
May raise suspicion for mural thrombus on angiography in select cases; hypothesis-generating and should not yet change practice.
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.
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Lucca et al. (1988) studied this question. An acquired coronary artery fistula can serve as an early angiographic clue to mural thrombus formation, helping to guide therapeutic anticoagulation decisions.
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