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Successful treatment of a thrombus in the left aortic coronary sinus in a child with systemic lupus erythematosus

Published online by Cambridge University Press:  23 October 2009

Stanimir Georgiev*
Department of Pediatric Cardiology, National Heart Hospital, Sofia, Bulgaria
Alexandra Lacheva
Department of Pediatric Cardiology, National Heart Hospital, Sofia, Bulgaria
Maya Pavlova
Department of Pediatric Cardiology, National Heart Hospital, Sofia, Bulgaria
Correspondence to: Stanimir Georgiev, National Heart Hospital, Konjovitsa str. 65, 1309 Sofia, Bulgaria. Tel.: +359 888 53 54 86; E-mail:


We report our experience in a 12 year old boy referred with suspected myocardial infarction. He has previously been diagnosed with systemic lupus erythematosus, and was being treated with steroids. Echocardiographic examination revealed a thrombus in the left aortic coronary sinus of Valsalva partially occluding the orifice of the left coronary artery. The thrombosis was successfully treated by venous thrombolysis using recombinant tissue plasminogen activator.

Brief Reports
Copyright © Cambridge University Press 2009

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