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

18 Scopus citations

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

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Keywords

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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