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首页> 外文期刊>Journal of cardiology >Coronary sinus ostial atresia with thrombus: a case report
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Coronary sinus ostial atresia with thrombus: a case report

机译：冠状窦口闭锁伴血栓：一例报告

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摘要

An 82-year-old woman presented with mitral regurgitation and atrial fibrillation. She was hospitalized for further examination of cardiac thrombus detected by transthoracic echocardiography. No definitive diagnosis could be made based on computed tomography and magnetic resonance imaging. Intravenous contrast echocardiography suggested a coronary sinus thrombus. Coronary angiography showed coronary sinus ostial atresia. Multislice computed tomography confirmed the presence of thrombus in the enlarged coronary sinus with coronary sinus ostial atresia and persistent left superior vena cava. Persistent left superior vena cava is present in 3% of patients with congenital heart disease. Persistent left superior vena cava is detected by chance during cardiac catheterization for other conditions in patients without cardiac malformations. The present case was detected at an advanced age, and in the absence of prior symptoms.
机译：一名82岁的女性出现了二尖瓣关闭不全和房颤。她因进一步经胸超声心动图检查发现的心脏血栓而住院。基于计算机断层扫描和磁共振成像无法做出明确的诊断。静脉造影超声心动图提示冠状窦血栓。冠状动脉造影显示冠状窦口闭锁。多层计算机体层摄影术证实了扩大的冠状窦中存在血栓，伴有冠状窦口闭锁和持续的左上腔静脉。先天性心脏病患者中有3％存在永久性左上腔静脉。对于没有心脏畸形的患者，在其他情况下在心脏导管插入过程中偶然发现了永久性左上腔静脉。本病例是在高龄且没有先兆症状的情况下发现的。

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