Coronary Sinus Ostial Atresia Presenting as Infective Endocarditis in a Previously Healthy Young Woman

2016 ◽  
Vol 19 (6) ◽  
pp. 311
Author(s):  
Byung Hee Ahn ◽  
Hwa Jin Cho ◽  
Kyo Sun Lee ◽  
Yo Chun Jung ◽  
Sang Gi Oh ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Rare Disease ◽  
Young Woman ◽  
Coronary Sinus ◽  
Healthy Woman ◽  
Unroofed Coronary Sinus ◽  
Healthy Young Woman ◽  
Unroofed Coronary Sinus Syndrome

Coronary sinus ostial atresia is a rare disease. Most patients are usually asymptomatic and diagnosed incidentally during surgery or at autopsy. We report a case of coronary sinus ostial atresia with unroofed coronary sinus syndrome in a previously healthy woman who presented with infective endocarditis.

Uncommon presentation and surgical correction of unroofed coronary sinus syndrome

2003 ◽  
Vol 76 (2) ◽  
pp. 619-621 ◽  
Author(s):  
Federico Brunelli ◽  
Andrea Amaducci ◽  
Zen Mhagna ◽  
Giovanni Troise ◽  
Eugenio Quaini
Keyword(s):  
Coronary Sinus ◽  
Surgical Correction ◽  
Unroofed Coronary Sinus ◽  
Uncommon Presentation ◽  
Unroofed Coronary Sinus Syndrome

Bidirectional coronary venous return in the partial unroofed coronary sinus syndrome complicated by coronary sinus orifice atresia

2020 ◽  
Vol 30 (4) ◽  
pp. 582-584 ◽  
Author(s):  
Dai Asada ◽  
Hisato Ito
Keyword(s):  
Coronary Sinus ◽  
Venous Return ◽  
Paradoxical Embolism ◽  
Pressure Balance ◽  
Caval Vein ◽  
Unroofed Coronary Sinus ◽  
Superior Caval Vein ◽  
Systemic Vein ◽  
Coronary Sinus Orifice Atresia ◽  
Unroofed Coronary Sinus Syndrome

AbstractUnroofed coronary sinus syndrome complicated by coronary sinus orifice atresia is a rare congenital anomaly. There are two alternate exits for coronary venous return: unroofed coronary sinus and persistent left superior caval vein. The coronary venous direction could be bidirectional depending on the pressure balance between the left atrium and the systemic vein. This anomaly has the risk of heart failure, paradoxical embolism, and cyanosis.

scholarly journals Minimally invasive surgical repair for unroofed coronary sinus syndrome directed by three-dimensional transesophageal echocardiography

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kazuma Handa ◽  
Shinya Fukui ◽  
Mutsunori Kitahara ◽  
Yumi Kakizawa ◽  
Hiroyuki Nishi
Keyword(s):  
Minimally Invasive ◽  
Transesophageal Echocardiography ◽  
Coronary Sinus ◽  
Three Dimensional ◽  
Mitral Insufficiency ◽  
Minimally Invasive Approach ◽  
Residual Shunt ◽  
Invasive Approach ◽  
Unroofed Coronary Sinus ◽  
Unroofed Coronary Sinus Syndrome

Abstract Background The recent remarkable development of cardiac imaging technology for unroofed coronary sinus syndrome has led to accurate preoperative diagnosis. We report a case of unroofed coronary sinus syndrome repaired via a minimally invasive approach, under the excellent command of three-dimensional transesophageal echocardiography. Case presentation A 77-year-old woman with hypertension was admitted for aggravation of bilateral leg edema and diagnosed with type III unroofed coronary sinus syndrome with Qp/Qs ratio of 1.6:1. The unroofed portion was detected at the atrial side between P2 and P3 of posterior mitral leaflet by preoperative three-dimensional transesophageal echocardiography. Right minithoracotomy was performed at the fourth intercostal space and cardiopulmonary bypass routinely established. Right atriotomy and left atriotomy incisions were made under antegrade cardioplegic arrest. The unroofed portion was revealed at the same location by preoperative transesophageal echocardiography and was clearly recognized only by endoscopy, not by direct vision. It was repaired by direct running suture under endoscopic visualization. We observed no blood cardioplegia leakage or mitral insufficiency, which was also confirmed by postoperative transesophageal echocardiography. The patient’s postoperative course was uneventful and she was discharged home 14 days after surgery without any residual shunt. Conclusions Successful repair of unroofed coronary sinus syndrome was safely and effectively achieved by a minimally invasive approach supported by preoperative three-dimensional transesophageal echocardiography.

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