Document Detail

Extreme clinical presentations of venous stasis: coronary sinus thrombosis.
MedLine Citation:
PMID:  24974504     Owner:  NLM     Status:  In-Process    
Sixty six year old male with history of heart failure was admitted for dysphagia, weight loss. CT scan chest revealed diffuse oesophageal wall thickening. Upper endoscopy, oesophagogram confirmed diagnosis of achalasia. TTE revealed severely reduced biventricular systolic function with LVEF 10%; PASP 75-80 mmHg. Parasternal long views showed dilated coronary sinus with a visible, mobile 2.0 cm thrombus. Pro-thrombotic workup was negative. Coronary sinus thrombosis has been identified as a rare complication to invasive cardiac procedures causing damage to coronary sinus endothelium and in hypercoagulable states.Typically acute thrombosis presents with chest pain, dynamic ECG changes, but chronic development does not present with ischaemic signs due to formation of efficient collateral circulation. We present a case report of stable primary coronary sinus thrombus incidentally diagnosed, secondary to chronic venous stasis in coronary circulation. Currently, there are no guidelines to assist physicians in long term management of such patients and thus warrants further investigations.
Amit Kachalia; Panagiotis Sideras; Mian Javaid; Sethu Muralidharan; Pilar Stevens-Cohen
Related Documents :
19207774 - Decremental accessory pathway conduction after ablation and antidromic atrioventricular...
17945654 - Arrhythmia source localization from intravenous and transthoracic catheter measurements.
15159294 - Atrio-esophageal fistula as a complication of percutaneous transcatheter ablation of at...
15353834 - Asymptomatic acute inferior st elevation myocardial infarction from thermal injury comp...
10836364 - Altered distribution and density of myocardial beta-adrenoceptors during acute rejectio...
3155304 - Clinical electrophysiologic effects of flecainide acetate.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the Association of Physicians of India     Volume:  61     ISSN:  0004-5772     ISO Abbreviation:  J Assoc Physicians India     Publication Date:  2013 Nov 
Date Detail:
Created Date:  2014-06-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505585     Medline TA:  J Assoc Physicians India     Country:  India    
Other Details:
Languages:  eng     Pagination:  841-3     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Squamous cell lung cancer producing bilateral air bronchograms on CT scan thorax.
Next Document:  Presystolic mitral regurgitation.