Life-threatening coronary sinus thrombosis following catheter ablation

Case report and review of literature

Khung Keong Yeo, Jennifer Davenport, Gary W Raff, John R. Laird

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Coronary sinus thrombosis is an extremely rare clinical syndrome with a high fatality rate. It is associated with procedures in the right heart, including insertion of pacemaker wires, Swan-Ganz catheters, and central venous lines. Recognition is often late, and treatment options are not well characterized. We present a case of acute coronary sinus thrombosis and occlusion associated with electrophysiologic ablation for supraventricular tachycardia in an 11-year-old boy. He developed chest pain, ST elevation, a large pericardial effusion, and cardiogenic shock. Emergent cardiac catheterization and percutaneous intervention with rheolytic aspiration thrombectomy resulted in a dramatic recovery. With the advent of new technologies and procedures involving the right heart and coronary sinus, an appreciation of this potentially lethal complication and possible treatment strategies is important.

Original languageEnglish (US)
JournalCardiovascular Revascularization Medicine
Volume11
Issue number4
DOIs
StatePublished - Oct 2010

Fingerprint

Intracranial Sinus Thrombosis
Coronary Thrombosis
Catheter Ablation
Coronary Sinus
Thrombectomy
Supraventricular Tachycardia
Cardiogenic Shock
Pericardial Effusion
Central Venous Catheters
Coronary Occlusion
Cardiac Catheterization
Chest Pain
Technology
Therapeutics

Keywords

  • Ablation
  • Coronary sinus
  • Electrophysiology
  • ST elevation
  • Thrombosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Life-threatening coronary sinus thrombosis following catheter ablation : Case report and review of literature. / Yeo, Khung Keong; Davenport, Jennifer; Raff, Gary W; Laird, John R.

In: Cardiovascular Revascularization Medicine, Vol. 11, No. 4, 10.2010.

Research output: Contribution to journalArticle

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