Traumatic aneurysm of left anterior descending coronary artery with fistulous opening into left ventricle and left ventricular aneurysm after stab wound of chest: Report of case with successful surgical repair

Abstract A patient survived a stab wound of the heart, and an aneurysm of the left anterior descending coronary artery developed with a fistulous communication into the left ventricle and a postinfarction ventricular aneurysm. All lesions were successfully repaired by surgery 4 years later. Preoperatively the patient suffered from angina pectoris presumably due to a coronary arterial “steal syndrome” and recurrent myocardial infarction presumably due to coronary embolism from thrombi formed within the coronary aneurysm. The combination of a coronary arterial aneurysm and a coronary arterial-left ventricular fistula produced a diastolic murmur that disappeared after surgery.