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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| Format: | Article |
| Language: | English |
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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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| author | Wei Wang Qifeng Song Qiang Wang Zhuan Zhang Cihan Wang Chenlong Yi |
| author_facet | Wei Wang Qifeng Song Qiang Wang Zhuan Zhang Cihan Wang Chenlong Yi |
| author_sort | Wei Wang |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-8d59e9c29db04bb9974dfb3de5fb4c5c |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-8d59e9c29db04bb9974dfb3de5fb4c5c2025-08-20T02:11:43ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-11-0131110.7326/aimcc.2024.0231Surgical Therapy for a Giant Coronary Sinus Thrombus Associated With Persistent Left Superior Vena CavaWei Wang0Qifeng Song1Qiang Wang2Zhuan Zhang3Cihan Wang4Chenlong Yi51Department of Cardiovascular Surgery, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, China1Department of Cardiovascular Surgery, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, China1Department of Cardiovascular Surgery, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, China3Department of Anesthesiology, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, China2Medical College of Yangzhou University, Yangzhou, China1Department of Cardiovascular Surgery, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, ChinaCoronary 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.https://www.acpjournals.org/doi/10.7326/aimcc.2024.0231 |
| spellingShingle | Wei Wang Qifeng Song Qiang Wang Zhuan Zhang Cihan Wang Chenlong Yi Surgical Therapy for a Giant Coronary Sinus Thrombus Associated With Persistent Left Superior Vena Cava Annals of Internal Medicine: Clinical Cases |
| title | Surgical Therapy for a Giant Coronary Sinus Thrombus Associated With Persistent Left Superior Vena Cava |
| title_full | Surgical Therapy for a Giant Coronary Sinus Thrombus Associated With Persistent Left Superior Vena Cava |
| title_fullStr | Surgical Therapy for a Giant Coronary Sinus Thrombus Associated With Persistent Left Superior Vena Cava |
| title_full_unstemmed | Surgical Therapy for a Giant Coronary Sinus Thrombus Associated With Persistent Left Superior Vena Cava |
| title_short | Surgical Therapy for a Giant Coronary Sinus Thrombus Associated With Persistent Left Superior Vena Cava |
| title_sort | surgical therapy for a giant coronary sinus thrombus associated with persistent left superior vena cava |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0231 |
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