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Intermittent coronary sinus occlusion complicating coronary sinus cannulation during coronary artery bypass operation
Salim Dabbah1, Shimon A Reisner, Zvi Adler
1Department of Cardiology, Rambam Medical Center, Haifa, Israel.
Insights
Coronary sinus thrombosis, a rare complication of invasive procedures, can lead to fatal outcomes. This case highlights intermittent thrombosis after coronary artery bypass grafting, causing severe cardiac events.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Coronary sinus (CS) thrombosis is a rare but serious condition.
- It often complicates invasive cardiac procedures causing trauma to the CS.
Observation:
- A case of intermittent CS thrombosis occurred following CS cannulation during coronary artery bypass grafting.
- The patient experienced myocardial infarction, left ventricular free wall rupture, and pseudoaneurysm formation.
Findings:
- The study presents characteristic echocardiographic findings of this rare complication.
- A review of existing literature on CS thrombosis is included.
Implications:
- This case underscores the potential for severe complications from CS thrombosis.
- Early recognition and management strategies for CS thrombosis are crucial in cardiac surgery patients.
Abstract:
Coronary sinus (CS) thrombosis is a rare event, usually complicating invasive procedures that cause trauma to the CS. Based on anecdotal case reports, this pathology is frequently associated with serious complications and is commonly fatal. We describe a case of intermittent CS thrombosis resulting from CS cannulation during coronary artery bypass grafting operation. This complication was further complicated by myocardial infarction, left ventricular free wall rupture, and pseudoaneurysm formation. The characteristic echocardiographic findings and a review of the literature on this rare complication are presented.
