Related Experiment Video

Updated: May 23, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
06:29

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

Thrombus at ostium of coronary sinus discovered during evaluation for cardiac resynchronization therapy

Tolga Sinan Güvenç1, Gültekin Karakuş, Yavuz Karabağ

  • 1Department of Cardiology, Kafkas University School of Medicine, Kars, Turkey. TSGuvenc@gmail.com

Echocardiography (Mount Kisco, N.Y.)
|April 13, 2012
PubMed

Insights

A cardiac mass near the coronary sinus ostium in a dilated cardiomyopathy patient resolved with anticoagulation. This highlights the importance of coronary sinus imaging during cardiac resynchronization therapy evaluations.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Dilated cardiomyopathy (DCM) often requires advanced therapies like cardiac resynchronization therapy (CRT).
  • Echocardiography is crucial for evaluating cardiac function and guiding CRT candidacy.

Observation:

  • A transthoracic echocardiogram in a patient with DCM revealed an unexpected mass near the coronary sinus ostium.
  • The mass's proximity to the coronary sinus ostium raised diagnostic questions.

Findings:

  • The observed mass was diagnosed as a thrombus based on its resolution after anticoagulation therapy.
  • A repeat echocardiogram confirmed the complete disappearance of the thrombus following warfarin treatment.

Implications:

  • Coronary sinus imaging is vital during echocardiographic assessments, particularly for patients undergoing evaluation for cardiac resynchronization therapy.
  • Early identification and management of coronary sinus thrombi can prevent complications and optimize treatment strategies.

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