Rachael M. Hall, Hannah Kempton, Stephanie Wilson, David Roy
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Coronary artery fistula causing myocardial ischemia after heart transplantation
We present a case of symptomatic left anterior descending (LAD) artery to right ventricle fistula formation, following orthotopic heart transplant. Closure of the shunt with a covered stent in the LAD was a satisfactory initial management strategy, however long-term is limited by recurrent severe in-stent restenosis. The etiology, as well as the best long-term management strategy for this unusual complication is not well defined.
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