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Giant Coronary Sinus Complicated by Spontaneous Thrombosis

Otito Ojukwu1, Salma Zook1,2, Neal Kleiman1

  • 1Texas A&M School of Medicine, College Station, Texas, US.

Methodist Debakey Cardiovascular Journal
|October 3, 2022
PubMed

Insights

Spontaneous coronary sinus thrombosis (CST) is a rare condition, often caused by medical procedures. This case highlights successful diagnosis and management using advanced imaging techniques.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Spontaneous coronary sinus thrombosis (CST) is exceptionally rare, with most cases linked to iatrogenic causes like central line placement or electrophysiology procedures.
  • Direct endothelial damage from instrumentation is the primary mechanism in iatrogenic CST.
  • The condition can present insidiously, often leading to delayed or missed diagnoses and potentially fatal outcomes.

Observation:

  • Diagnosis of CST is historically challenging and frequently overlooked.
  • Multimodality imaging offers improved capabilities for recognizing CST.
  • This report details a patient diagnosed with spontaneous CST via multimodality imaging.

Findings:

  • Successful diagnosis of spontaneous coronary sinus thrombosis was achieved using multimodality imaging.
  • The patient with spontaneous CST received successful management following diagnosis.

Implications:

  • Increased recognition of spontaneous CST is anticipated with advancements in multimodality imaging.
  • Early diagnosis and management strategies for spontaneous CST can improve patient outcomes.
  • This case underscores the importance of considering rare thrombotic events in cardiovascular diagnostics.

Keywords:
coronary sinus thrombosisechocardiogramfistulamitral regurgitationunroofed coronary sinus

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