An unusual coronary vein lesion thrombus with calcification

Area of Science:

• Cardiology
• Nephrology
• Pathology

Background:

• Chronic renal failure can lead to secondary hyperparathyroidism.
• Secondary hyperparathyroidism is associated with widespread calcification in various tissues.
• Cardiac involvement in renal disease requires careful diagnostic consideration.

Purpose of the Study:

• To describe a case of cardiac thrombus calcification in a patient with chronic renal failure and secondary hyperparathyroidism.
• To highlight the echocardiographic features of cardiac thrombus calcification.
• To discuss the differential diagnosis between cardiac thrombus calcification and mitral annular calcification.

Main Methods:

• Case report presentation.
• Echocardiographic imaging of cardiac structures.
• Review of clinical and pathological findings.

Main Results:

• A patient with chronic renal failure and secondary hyperparathyroidism presented with complex cardiac calcifications.
• Echocardiography identified calcification within an occlusive thrombus in the great cardiac vein and coronary sinus.
• The echocardiographic appearance of this thrombus calcification was similar to mitral annular calcification.

Conclusions:

• Calcification of cardiac thrombi can occur in the setting of chronic renal failure and secondary hyperparathyroidism.
• Echocardiography is a valuable tool for identifying cardiac calcifications, but differentiation from other calcific lesions is crucial.
• Recognition of this entity is important for accurate diagnosis and management of cardiac complications in renal disease.