Giant Organized Thrombus in the Left Sinus of Valsalva Causing Intermittent Left Coronary Obstruction-An Unusual Case of Acute Myocardial Infarction
| Autor: | Toshizumi Shirai, Takamichi Miyamoto, Masatoshi Komura, Mitsuaki Isobe, Akihiro Niwa, Satoru Kawaguchi, Hitoshi Fujiwara, Yasutoshi Nagata |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Aortography medicine.diagnostic_test business.industry medicine.medical_treatment General Medicine medicine.disease Ostium medicine.anatomical_structure Left coronary artery Internal medicine medicine.artery cardiovascular system medicine Cardiology cardiovascular diseases Radiology Myocardial infarction Thrombus Cardiology and Cardiovascular Medicine business Sinus (anatomy) circulatory and respiratory physiology Artery Cardiac catheterization |
| Zdroj: | Circulation Journal. 68:795-798 |
| ISSN: | 1347-4820 1346-9843 |
| DOI: | 10.1253/circj.68.795 |
| Popis: | A 48-year-old Japanese man was admitted to hospital for acute myocardial infarction associated with a giant organized thrombus occupying the left sinus of Valsalva. Cardiac catheterization revealed no organic stenosis in either coronary artery, but left ventriculography and aortography showed a filling defect above the left coronary cusp. Transesophageal echocardiography was immediately performed and showed a round mass filling the left sinus of Valsalva. A solid, round mass approximately 2.5 cm in diameter was removed during emergency surgery and determined to be a thrombus on the basis of microscopic findings. This is the second report of a giant organized thrombus occupying the entire left sinus of Valsalva, obstructing the ostium of the left coronary artery intermittently, and leading to acute myocardial infarction. (Circ J 2004; 68: 795 - 798) |
| Databáze: | OpenAIRE |
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