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Case Reports
. 2022 Jul;37(7):2098-2099.
doi: 10.1111/jocs.16482. Epub 2022 Apr 5.

Thrombus formation in the noncoronary sinus of Valsalva following primary graft dysfunction

Affiliations
Case Reports

Thrombus formation in the noncoronary sinus of Valsalva following primary graft dysfunction

John-Peder Escobar Kvitting et al. J Card Surg. 2022 Jul.

Abstract

We hereby present a case of thrombus formation in the noncoronary sinus of Valsalva following primary graft dysfunction. The case highlights that stagnant and nonpulsatile flow can form thrombi in the noncoronary sinus since this sinus does not have a natural distal runoff.

Keywords: aorta and great vessels; transplant.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Coronary arteriography of the right (A) and left coronary artery (B). The white arrow marks the thrombus in the noncoronary sinus of Valsalva

References

    1. Truby LK, DeRoo S, Spellman J, et al. Management of primary graft failure after heart transplantation: preoperative risks, perioperative events, and postoperative decisions. Clin Transplant. 2019;33:e13557. - PubMed
    1. Nicoara A, Ruffin D, Cooter M, et al. Primary graft dysfunction after heart transplantation: incidence, trends, and associated risk factors. Am J Transplant. 2018;18:1461‐1470. - PubMed
    1. Kvitting JP, Ebbers T, Wigström L, Engvall J, Olin CL, Bolger AF. Flow patterns in the aortic root and the aorta studied with time‐resolved, 3‐dimensional, phase‐contrast magnetic resonance imaging: implications for aortic valve‐sparing surgery. J Thorac Cardiovasc Surg. 2014;127:1602‐1607. - PubMed
    1. Hathcock JJ. Flow effects on coagulation and thrombosis. Arterioscler Thromb Vasc Biol. 2006;26:1729‐1737. - PubMed
    1. Ennezat PV, Sudre A, Pouwels S, et al. Acute coronary syndromes associated with thrombus in the sinus of Valsalva and normal coronary arteriography: the pivotal role of transesophageal echocardiography in the intensive care unit. Mayo Clin Proc. 2006;81:399‐402. - PubMed

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