Left circumflex arising from right coronary sinus

Coronary sinus aneurysm (CSA) is an extremely rare entity. Herein, we present an unusual case of an 18-year-old symptomatic female patient with a giant CSA. Secondary vena cava aneurysms were also manifested. The final diagnosis was confirmed by enhanced computed tomography (CT) and cardiac catheterization. As far as we know, it is the first case that such a giant CSA coexists with secondary vena cava aneurysms. Considering the complexity of postoperative reconstruction, we believe that heart transplantation may be the optimal way for treatment. The patient received anticoagulant due to the superior vena cava (SVC) thrombosis while waiting for a donor.

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Congenital Left Main Coronary Artery to Coronary Sinus Fistula

The Heart Surgery Forum ◽

10.1532/hsf98.20101085 ◽

2011 ◽

Vol 14 (4) ◽

pp. 255 ◽

Cited By ~ 4

Author(s):

Fotios A. Mitropoulos ◽

Meletios A. Kanakis ◽

Periklis A. Davlouros ◽

George Triantis

Keyword(s):

Coronary Artery ◽

Coronary Arteries ◽

Coronary Sinus ◽

Left Main Coronary Artery ◽

Coronary Artery Fistula ◽

Left Main ◽

Coronary Fistula ◽

Excellent Outcome ◽

Surgical Ligation ◽

Congenital Coronary Artery Fistula

Congenital coronary artery fistula is an extremely rare anomaly that may involve any of the coronary arteries and any of the cardiac chambers. We report the case of a 14-year-old female patient with a symptomatic congenital coronary fistula starting from the left main coronary artery and draining to the coronary sinus. The patient underwent surgical ligation of the fistula and had an excellent outcome.

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Changes in Hemodynamics and Bradykinin Concentration in Coronary Sinus Blood in Experimental Coronary Artery Occlusion

Japanese Heart Journal ◽

10.1536/ihj.18.679 ◽

1977 ◽

Vol 18 (5) ◽

pp. 679-689 ◽

Cited By ~ 47

Author(s):

Keiichi HASHIMOTO ◽

Masaru HIROSE ◽

Soichi FURUKAWA ◽

Hirokazu HAYAKAWA ◽

Eiichi KIMURA

Keyword(s):

Coronary Artery ◽

Coronary Sinus ◽

Coronary Artery Occlusion ◽

Artery Occlusion ◽

Coronary Sinus Blood

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Percutaneous Mitral Annuloplasty for Treatment of Functional Mitral Regurgitation

European Cardiology Review ◽

10.15420/ecr.2009.5.1.67 ◽

2009 ◽

Vol 5 (1) ◽

pp. 67

Author(s):

Lutz Buellesfeld ◽

Lazar Mandinov ◽

Eberhard Grube ◽

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...

Keyword(s):

Mitral Regurgitation ◽

Coronary Sinus ◽

Standard Of Care ◽

Mitral Annulus ◽

Functional Mitral Regurgitation ◽

Invasive Treatment ◽

Large Variability ◽

Mitral Annuloplasty ◽

Number Of Patients ◽

Anatomical Relationship

Functional mitral regurgitation affects a substantial proportion of patients with congestive heart failure due to myocardial infarction or dilated cardiomyopathy. Functional mitral regurgitation greatly increases morbidity and mortality. Surgical annuloplasty is the standard of care for symptomatic patients with moderate or severe functional mitral regurgitation; however, a large number of patients are refused surgery. Several percutaneous approaches have been developed to address the need for less invasive treatment of mitral annulus dilatation. Devices using coronary sinus to cinch the mitral annulus are relatively easy to use; however, a number of factors may limit their clinical application, such as suboptimal anatomical relationship between the coronary sinus and mitral annulus, risk of coronary artery compression, large variability in the coronary venous anatomy and conflict with other therapies such as ablation or cardiac resynchronisation. Direct mitral annuloplasty is anticipated to be more effective than the coronary sinus approaches; however, it has yet to prove its safety and efficacy in carefully designed clinical trials. The best candidates and the best timing for each percutaneous mitral annuloplasty therapy, whether direct or indirect, have yet to be identified.

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