Surgical Therapy for a Giant Coronary Sinus Thrombus Associated With Persistent Left Superior Vena Cava
Coronary sinus thrombosis (CST) is rare, and consensus on optimal treatment remains elusive. This article details the presentation and management of a large CST in a 73-year-old female patient. Notably, the case involves persistent left superior vena cava (PLSVC), a rare congenital anomaly complicat...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
American College of Physicians
2024-11-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0231 |
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| Summary: | Coronary sinus thrombosis (CST) is rare, and consensus on optimal treatment remains elusive. This article details the presentation and management of a large CST in a 73-year-old female patient. Notably, the case involves persistent left superior vena cava (PLSVC), a rare congenital anomaly complicating the scenario. The patient was successfully treated with on-pump surgery and postoperative anticoagulant therapy. Our findings advocate for a comprehensive understanding of CST, highlighting potential efficacy in combined surgical and anticoagulant strategies, particularly in cases with PLSVC. This underscores the necessity for further research to refine diagnostic and treatment approaches for complex CST scenarios. |
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| ISSN: | 2767-7664 |