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J Am Soc Echocardiogr · Dec 1999
Case ReportsIntermittent left coronary occlusion caused by native aortic valve thrombosis in a patient with protein S deficiency.
- Y Jobic, K Provost, J M Larlet, P Mondine, M Gilard, J Boschat, and J J Blanc.
- Department of Cardiology and Cardiac Surgery, Brest University Hospital, France.
- J Am Soc Echocardiogr. 1999 Dec 1; 12 (12): 1114-6.
AbstractA 77-year-old woman presented with chest pain and cardiogenic shock. Transesophageal echocardiography showed a mobile mass occluding intermittently the left coronary ostium. The mass was surgically resected, and histologic examination revealed an organized thrombus. Coagulation study demonstrated a protein S deficiency. This is the first case of aortic thrombosis associated with protein S deficiency, and it is the first time that transesophageal echocardiography provided definite evidence that a mass can cause intermittent left ostium coronary obstruction.
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