title: Occlusion of the coronary sinus ostium: a danger for cavopulmonary anastomosis.
abstract: Coronary sinus (CS) ostial obstruction decompressing through a left superior vena cava is a rare finding and presents unique risks to patients requiring a Glenn anastomosis for single-ventricle palliation. Preoperative diagnosis is imperative in order to avoid inadvertent ligation or coil occlusion. We report three cases with single-ventricle physiology and CS obstruction identified at cardiac catheterization. Balloon occlusion angiography proved valuable in making the diagnosis.
authors.affiliation: Division of Pediatric Cardiology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
authors.forename: Dana R
authors.initials: DR
authors.lastname: Janssen
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Graham
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Doyle
authors.forename: J Donald
authors.initials: JD
authors.lastname: Moore
mesh_terms: D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging; D006328:Cardiac Catheterization; D002404:Catheterization; D005260:Female; D018610:Heart Bypass, Right / Q000009:adverse effects*; D006330:Heart Defects, Congenital / Q000628:therapy*; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography; D014683:Vena Cava, Superior