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Enlarged coronary sinus thrombosis after repair of Ebstein's anomaly
Author(s) -
Shimbori Risa,
Takaki Jun,
Hosoda Yasuhito,
Hidaka Hideaki,
Okamoto Ken,
Fukui Toshihiro
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14414
Subject(s) - medicine , coronary sinus , cardiology , persistent left superior vena cava , regurgitation (circulation) , tricuspid valve , mitral valve replacement , thrombosis , mitral valve regurgitation , ebstein's anomaly , surgery , extracorporeal membrane oxygenation , mitral regurgitation , mitral valve
Abstract A 58‐year‐old woman was referred to our hospital with progressively increasing breathlessness. She reported a history of bioprosthetic valve implantation for tricuspid valve replacement and direct closure of an atrial septal defect for Ebstein's anomaly, 31 years before presentation. Transthoracic echocardiography revealed prosthetic valve failure, an enlarged coronary sinus, and severe mitral regurgitation. Computed tomography revealed a giant coronary sinus with thrombosis and persistent left superior vena cava. She underwent successful mitral and tricuspid valve replacement; however, severe hemodynamic deterioration necessitated mechanical ventilatory support with extracorporeal membrane oxygenation.