title: Intermittent coronary sinus occlusion complicating coronary sinus cannulation during coronary artery bypass operation.
abstract: Coronary sinus (CS) thrombosis is a rare event, usually complicating invasive procedures that cause trauma to the CS. Based on anecdotal case reports, this pathology is frequently associated with serious complications and is commonly fatal. We describe a case of intermittent CS thrombosis resulting from CS cannulation during coronary artery bypass grafting operation. This complication was further complicated by myocardial infarction, left ventricular free wall rupture, and pseudoaneurysm formation. The characteristic echocardiographic findings and a review of the literature on this rare complication are presented.
authors.affiliation: Department of Cardiology, Rambam Medical Center, Haifa, Israel.
authors.forename: Salim
authors.initials: S
authors.lastname: Dabbah
authors.forename: Shimon A
authors.initials: SA
authors.lastname: Reisner
authors.forename: Zvi
authors.initials: Z
authors.lastname: Adler
authors.forename: Simcha
authors.initials: S
authors.lastname: Milo
authors.forename: Yoram
authors.initials: Y
authors.lastname: Agmon
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003328:Coronary Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology*; D017548:Echocardiography, Transesophageal; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology*