An Unusual Coronary Vein Lesion: Thrombus with Calcification

In this article, a patient with chronic renal failure and probable secondary hyperparathyroidism is described; calcification of a variety of cardiac and other structures complicated the latter. Calcification of an occlusive thrombus in the great cardiac vein and coronary sinus was identified by echocardiography, although not initially appreciated as such. The echocardiographic similarity of this lesion to mitral annular calcification is discussed.