Related Experiment Video

Updated: Sep 17, 2025

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
08:42

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Published on: February 11, 2022

3.6K

[Surgery for Right Coronary Artery Ostium Thrombus Occlusion:Report of a Case]

Kazuhisa Sakamoto1, Nobuhisa Ohno, Atsushi Nagasawa

  • 1Department of Cardiovascular Surgery, Hamamatsu Rosai Hospital, Hamamatsu, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|July 1, 2025
PubMed

Insights

A rare right coronary artery thrombus causing blockage was diagnosed using computed tomography (CT) scans. Open heart surgery successfully removed the thrombus, preventing systemic embolism in this patient with atrial fibrillation.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Rare thrombus formation at the right coronary artery orifice is a critical condition.
  • Patients with chronic atrial fibrillation and cancer history may present unique risks.

Purpose of the Study:

  • To report a rare case of right coronary artery thrombus occlusion.
  • To highlight the diagnostic utility of computed tomography (CT) in preventing systemic embolism.
  • To discuss the surgical management of such rare embolic events.

Main Methods:

  • Diagnosis was achieved using computed tomography (CT) scan.
  • Treatment involved open heart surgery for thrombectomy.
  • Literature review was conducted for similar cases.

Main Results:

  • Computed tomography (CT) successfully identified the thrombus and its aortic protrusion.
  • Open heart surgery effectively removed the thrombus, mitigating embolism risk.
  • The patient's condition was managed without systemic embolic complications.

Conclusions:

  • Computed tomography (CT) is crucial for diagnosing and preventing systemic embolism from coronary artery thrombi.
  • Thrombectomy via open heart surgery is a viable treatment for large, protruding coronary artery thrombi.
  • This case underscores the importance of considering rare embolic sources in patients with relevant comorbidities.

More Related Videos

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

18.7K
Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery09:12

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery

Published on: March 27, 2018

9.6K

Related Concept Videos

Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
173
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
28
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
39