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Unexpected sudden death from coronary sinus thrombosis. An unusual complication of central venous catheterization
J M Suárez-Peñaranda1, R Rico-Boquete, J I Muñoz
1Institute of Legal Medicine, University of Santiago de Compostela, Department of Pathology, University Hospital of Santiago de Compostela, Spain. apimljsp@usc.es
Insights
Coronary sinus thrombosis, a rare complication of central venous devices, can be fatal. This case highlights how a malpositioned central venous catheter may cause direct trauma, leading to thrombosis and sudden death.
Area of Science:
- Cardiology
- Vascular Surgery
- Medical Devices
Background:
- Coronary sinus thrombosis is an uncommon yet severe complication associated with central venous device usage.
- Central venous catheters are frequently used in clinical practice for various therapeutic purposes.
Abstract:
Coronary sinus thrombosis is an unusual but potentially serious complication of the use of central venous devices. We report a fatal case of coronary sinus thrombosis in relation to a malpositioned central venous catheter. The death occurred very soon following the beginning of symptoms and the cause could not be suspected. Direct trauma of the catheter on the coronary sinus endothelium seems the most probable cause of the thrombosis.