Successful treatment of a thrombus in the left aortic coronary sinus in a child with systemic lupus erythematosus.
We report our experience in a 12 year old boy referred with suspected myocardial infarction. He has previously been diagnosed with systemic lupus erythematosus, and was being treated with steroids. Echocardiographic examination revealed a thrombus in the left aortic coronary sinus of Valsalva partially occluding the orifice of the left coronary artery. The thrombosis was successfully treated by venous thrombolysis using recombinant tissue plasminogen activator.
Georgiev
Stanimir
S
Department of Pediatric Cardiology, National Heart Hospital, Sofia, Bulgaria. stgeorgiev@daad-alumni.de
Lacheva
Alexandra
A
Pavlova
Maya
M
D002648:Child; D017023:Coronary Angiography; D054326:Coronary Sinus / Q000000981:diagnostic imaging / Q000473:pathology*; D003328:Coronary Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D004452:Echocardiography / Q000379:methods; D004562:Electrocardiography / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007262:Infusions, Intravenous; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis*; D008297:Male; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology; D018570:Risk Assessment; D015912:Thrombolytic Therapy / Q000379:methods*; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*; D016896:Treatment Outcome
D010959:Tissue Plasminogen Activator