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However, there are potential life\u2010threatening complications associated with surgical intervention. We present a case of an extremely rare markedly aneurysmal LM to right atrial fistula treated with surgical ligation complicated by inferolateral ST\u2010elevation myocardial infarction several days post\u2010operatively treated successfully using mechanical aspiration thrombectomy, a stent\u2010retriever, balloon angioplasty, and subsequent intravascular ultrasound\u2010guided percutaneous coronary intervention with drug\u2010eluting stent.<\/jats:p>","DOI":"10.1002\/ccd.29333","type":"journal-article","created":{"date-parts":[[2020,10,17]],"date-time":"2020-10-17T13:30:54Z","timestamp":1602941454000},"page":"1218-1220","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Colossal left main to right atrium fistula ligation complicated by left circumflex STEMI"],"prefix":"10.1002","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9804-3786","authenticated-orcid":false,"given":"Giorgio 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