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Ann Thorac Surg 2000;70:961-963
© 2000 The Society of Thoracic Surgeons

Case report

Dramatic improvement of LV function after coronary sinus thromboembolectomy

Eugenio Neri, MDa, Alberto Tripodi, MDa, Enrico Tucci, MDa, Gianni Capannini, MDa, Carlo Sassi, MDa

a Thoracic and Cardiovascular Department, University Hospital, Siena, Italy

Address reprint requests to Dr Neri, Istituto di Chirurgia Toracica e Cardiovascolare Universita’ degli Studi di Siena, Policlinico le Scotte, Viale M. Bracci, 53100 Siena, Italy
e-mail: euxneri{at}tin.it

We present the case of a 79-year-old man suffering from chronic atrial fibrillation, severe left ventricular dysfunction, massive right atrial thrombosis, and pulmonary hypertension. Complete coronary sinus thrombosis was found incidentally during preoperative screening. Successful coronary sinus, right atrial, and pulmonary operative embolectomy was followed soon after by a dramatic improvement of cardiac performance; the patient’s left ventricular function recovery, in particular, suggests that cardiac venous system played an important role in the genesis of myocardial impairment.




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