Coronary sinus thrombosis: insights from a comprehensive literature review.

IF 2.6 4区 医学 Q2 HEMATOLOGY
Chenlong Yi
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引用次数: 0

Abstract

Coronary sinus thrombosis (CST) is a rare and severe disease that remains underrecognized in clinical practice. Most documented cases fall within the acute category, with non-specific symptoms, rapid progression, and a high mortality rate. In contrast, some cases follow an insidious course, leading to the formation of partial or incomplete thrombi that may not cause immediate death but can progress to severe complications over time. This review study the pathophysiology, clinical presentations, diagnostic challenges, and the association with persistent left superior vena cava (PLSVC), emphasizing the utility of imaging modalities such as Echocardiography, Computed Tomography, Magnetic Resonance Imaging and Venography. For management, anticoagulation remains the cornerstone of treatment for CST, with surgical thrombectomy reserved for severe or refractory cases. Post-treatment follow-up is highlighted as essential for monitoring recurrence and managing complications. In brief, the aim of this review is to enhance the understanding of CST and improve clinical outcomes through early recognition, tailored interventions, and multidisciplinary care.

冠状窦血栓形成:综合文献综述的见解。
冠状窦血栓形成是一种罕见而严重的疾病,在临床实践中仍未得到充分认识。大多数记录的病例属于急性类别,无特异性症状,进展迅速,死亡率高。相反,有些病例的病程隐匿,导致部分或不完全血栓的形成,可能不会立即导致死亡,但随着时间的推移,可能发展为严重的并发症。本文综述了左上腔静脉(PLSVC)的病理生理学、临床表现、诊断挑战以及与持续性左上腔静脉(PLSVC)的关系,强调了超声心动图、计算机断层扫描、磁共振成像和静脉造影等成像方式的应用。对于治疗,抗凝仍然是CST治疗的基石,手术取栓保留在严重或难治性病例。治疗后随访是监测复发和控制并发症的关键。简而言之,本综述的目的是通过早期识别、量身定制的干预措施和多学科治疗来提高对CST的理解并改善临床结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Thrombosis Journal
Thrombosis Journal Medicine-Hematology
CiteScore
3.80
自引率
3.20%
发文量
69
审稿时长
16 weeks
期刊介绍: Thrombosis Journal is an open-access journal that publishes original articles on aspects of clinical and basic research, new methodology, case reports and reviews in the areas of thrombosis. Topics of particular interest include the diagnosis of arterial and venous thrombosis, new antithrombotic treatments, new developments in the understanding, diagnosis and treatments of atherosclerotic vessel disease, relations between haemostasis and vascular disease, hypertension, diabetes, immunology and obesity.
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