PMID- 21958805
OWN - NLM
STAT- MEDLINE
DCOM- 20111129
LR  - 20161125
IS  - 1552-6259 (Electronic)
IS  - 0003-4975 (Linking)
VI  - 92
IP  - 4
DP  - 2011 Oct
TI  - Intermittent coronary artery occlusion caused by a floating thrombus in the left 
      coronary sinus of valsalva of a patient with a normal aorta and protein C
      deficiency.
PG  - 1508-10
LID - 10.1016/j.athoracsur.2011.04.037 [doi]
AB  - A floating thrombus in the ascending aorta is an uncommon source of embolism. We 
      report a case in which a floating mass in the left coronary sinus of Valsalva
      caused intermittent left main coronary trunk occlusion, leading to myocardial
      ischemia and cardiogenic shock. The mass was surgically resected.
      Macroscopically, the aortic wall and leaflets were normal. On histologic
      examination the mass was found to be a thrombus. This patient had a low level of 
      protein C; therefore, it was presumed that the thrombus was due to protein C
      deficiency.
CI  - Copyright (c) 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc.
      All rights reserved.
FAU - Hisatomi, Kazuki
AU  - Hisatomi K
AD  - Department of Cardiovascular Surgery, Oita Prefectural Hospital, Oita, Japan.
      hisatomi@oitakenbyo.jp
FAU - Yamada, Takafumi
AU  - Yamada T
FAU - Odate, Tomohiro
AU  - Odate T
FAU - Yamashita, Kizuku
AU  - Yamashita K
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
RN  - 0 (Protein C)
SB  - AIM
SB  - IM
MH  - Adult
MH  - Aorta, Thoracic/*diagnostic imaging
MH  - Coronary Angiography
MH  - Coronary Stenosis/diagnosis/*etiology/surgery
MH  - Coronary Thrombosis/*complications/diagnosis/surgery
MH  - Diagnosis, Differential
MH  - Echocardiography, Transesophageal
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Protein C/*metabolism
MH  - Protein C Deficiency/blood/*complications
MH  - *Sinus of Valsalva
MH  - Thrombectomy/*methods
MH  - Tomography, X-Ray Computed
EDAT- 2011/10/01 06:00
MHDA- 2011/12/13 00:00
CRDT- 2011/10/01 06:00
PHST- 2011/02/24 00:00 [received]
PHST- 2011/03/26 00:00 [revised]
PHST- 2011/04/05 00:00 [accepted]
PHST- 2011/10/01 06:00 [entrez]
PHST- 2011/10/01 06:00 [pubmed]
PHST- 2011/12/13 00:00 [medline]
AID - S0003-4975(11)01002-2 [pii]
AID - 10.1016/j.athoracsur.2011.04.037 [doi]
PST - ppublish
SO  - Ann Thorac Surg. 2011 Oct;92(4):1508-10. doi: 10.1016/j.athoracsur.2011.04.037.