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[Thrombosis of the coronary sinus due to right endo-ventricular stimulation]
Archives Des Maladies Du Coeur Et Des Vaisseaux
|September 1, 1976
Insights
A rare case of cardiac thrombosis in the coronary sinus was discovered in a patient with cardiomyopathy and a pacemaker lead. This finding highlights a surprising complication of intracavitary pacemakers.
Area of Science:
- Cardiology
- Cardiac Electrophysiology
Background:
- Primary cardiomyopathy presents complex diagnostic challenges.
- Intracavitary pacemaker leads are common in cardiac device therapy.
Observation:
- Anatomical investigation revealed organized thrombosis within the coronary sinus.
- The thrombosis was associated with a right ventricular pacemaker lead.
Findings:
- Cardiac thrombosis is a rare but documented complication of intracavitary pacemakers.
- The location within the coronary sinus is an unusual presentation.
Implications:
- This case underscores the importance of comprehensive anatomical assessment in patients with cardiac devices.
- Further research may elucidate the mechanisms and risk factors for coronary sinus thrombosis related to pacemakers.
Abstract:
In a patient with a primary cardiomyopathy, anatomical investigation allowed us to find a total old organised thrombosis of the coronary sinus associated with the presence of a right ventricular stimulator of a pacemaker. A brief review of the literature reveals that cardiac thombosis is a surpising and rare complication of a residual intracavitary pacemaker, even if it is located in the coronary sinus.