Enlarged coronary sinus thrombosis after repair of Ebstein's anomaly |
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Authors: | Risa Shimbori MD Jun Takaki MD Yasuhito Hosoda MD Hideaki Hidaka MD Ken Okamoto MD Toshihiro Fukui MD |
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Affiliation: | Department of Cardiovascular Surgery, Kumamoto University Hospital, Kumamoto, Japan |
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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. |
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Keywords: | Ebstein's anomaly enlarged coronary sinus tricuspid valve replacement |
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