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  • Title: Death related to coronary artery fistula after rupture of an aneurysm to the coronary sinus.
    Author: Rajs J, Brodin LA, Hertzfeld I, Larsen FF.
    Journal: Am J Forensic Med Pathol; 2001 Mar; 22(1):58-61. PubMed ID: 11444664.
    Abstract:
    Large coronary fistulas are considered to cause myocardial ischemia due to diversion of the coronary blood flow. In this case the authors report the reverse effect--the spontaneous closure of a large fistulation between the left circumflex artery and the coronary sinus evoked angina pectoris in a middle aged man, who died several years later. Postmortem examination revealed a coronary aneurysm that had ruptured and dissected into the coronary sinus and finally thrombosed. The origin of the aneurysm could be congenital but perhaps also represents a healed stage of Kawasaki disease.
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