Peripheral arterial embolism caused by a floating thrombus in the right coronary sinus of Valsalva

Abstract Although transthoracic echocardiography (TTE) is the cornerstone of noninvasive cardiac imaging in the detection of cardiac source of emboli, transesophageal echocardiography (TEE) provides additional information for the identification of most causes. We report a case with a floating thromb...

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Bibliographic Details
Published in:International journal of cardiology 2009-01, Vol.131 (3), p.433-434
Main Authors: Park, Soo Jin, Park, Jae-Hyeong, Rim, Se-Joong, Ahn, Moon Sang, Lee, Jae-Hwan, Choi, Si Wan, Jeong, Jin-Ok, Seong, In-Whan
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular
Cardiovascular system
Echocardiography
Echocardiography, Transesophageal
Embolism
Embolism - etiology
Femoral Artery
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Sinus of Valsalva
Thrombosis - complications
Thrombosis - diagnostic imaging
Thrombus
Transesophageal
Ultrasonic investigative techniques
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Summary:Abstract Although transthoracic echocardiography (TTE) is the cornerstone of noninvasive cardiac imaging in the detection of cardiac source of emboli, transesophageal echocardiography (TEE) provides additional information for the identification of most causes. We report a case with a floating thrombus in the right coronary sinus of Valsalva, with complicated peripheral arterial embolism and renal infarct. Due to the high velocity of the blood flow, the formation of thrombus in the coronary sinus is extremely rare. This may, however, be a cause of embolism and a TEE examination should be included to detect potential cardiac source of embolism.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2007.07.134