Coronary sinus thrombosis: Echocardiographic visualization in a patient with known risk factors

Gregory Milligan1, John C Moscona1

  • 1Tulane University School of Medicine, Department of Internal Medicine, 1430 Tulane Ave., SL50, New Orleans, LA 70112.

Insights

Coronary sinus thrombosis, a rare condition, can be detected early using echocardiography in high-risk patients. Prompt anticoagulation management is crucial for favorable outcomes.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Coronary sinus thrombosis (CST) is a rare but serious condition.
  • Systolic heart failure and recent cardiac procedures increase risk.
  • CST can lead to severe symptoms including syncope and dyspnea.

Observation:

  • A case of acute CST is presented in a patient with systolic heart failure post-right-heart catheterization.
  • The patient experienced recurrent presyncope, syncope, and shortness of breath.
  • Transthoracic echocardiography revealed an echogenic focus indicative of a thrombus, not previously noted.

Findings:

  • Coronary sinus thrombosis was diagnosed.
  • The patient was successfully managed with oral anticoagulation.
  • Early detection via echocardiography is key.

Implications:

  • Increased awareness of CST risk factors is essential for timely diagnosis.
  • Bedside echocardiography can facilitate early detection of CST.
  • Prompt anticoagulation can improve patient outcomes in CST.

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