Journal List > Korean Circ J > v.20(3) > 1072584

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Koh, Hwang, Kim, Lee, Choi, Han, Lee, Park, Kim, and Yoon: Coronary Neovascularity and Fistula Formation in Left Atrial Thrombosis
Case Report
Korean Circulation Journal

Korean Circulation Journal 1990; 20(3): 418-423.

Published online: 30 September 1990

DOI: https://doi.org/10.4070/kcj.1990.20.3.418

Coronary Neovascularity and Fistula Formation in Left Atrial Thrombosis

Kwang Kon Koh, M.D., Heung Kon Hwang, M.D., Pan Gum Kim, M.D., Sang Hoon Lee, M.D., Young Hi Choi, M.D., Jae Jin Han, M.D., Young Tak Lee, M.D., Pyo Won Park, M.D., Ju E Kim, M.D., Dong Heon Yoon, M.D.

Copyright © 1990 The Korean Society of Circulation

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In mitral valve disease, mural thrombus in the left atrium is common, particulary in the atrial appendage in patients with atrial fibrillation. Occasionally, the angiographic sign of "neovascularity" and "fistula" in the region of the left atrial appendage during coronary arteriography has been reported to indicate the presence of thrombus in the left atrium, which might not even be revealed by transthoracic two-dimensional echocardiography.
We observed coronary neovascularity and fistula formation in two pateints with mitral stenosis and these findings were due to organized mural thrombus that was adherent to the wall of the left atrial appendage. So we report 2 cases with brief review of literature.

Keywords: Coronary neovascularity, Fistula, Left atrial thrombus

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