Childhood angina due to congenital atresia of the coronary sinus.
A young child with exertional chest pain, and an electrocardiographic pattern suggesting reversible ischaemia of the anterior ventricular wall documented by Cardiolyte stress-testing, underwent cardiac catheterization and selective coronary angiography. Although the coronary arteries were entirely normal, the recirculation phase demonstrated marked dilation of the coronary sinus, with atresia of its mouth. At surgery, the patient was confirmed to have muscular atresia at the mouth of the coronary sinus, and underwent unroofing of the coronary sinus to the left atrium, with ligation of a persistent left superior caval vein. Post-operatively, the patient continued to have persistent chest pain, albeit without inducible ischaemia on stress-testing.
Suarez
William A
WA
Division of Pediatric Cardiology, Mercy Children's Hospital, Toledo, OH 43608, USA. wsuarez@mco.edu
Sundararaghavan
Sreekanthan
S
Bove
Edward
E
D000787:Angina Pectoris / Q000175:diagnosis / Q000209:etiology*; D006328:Cardiac Catheterization / Q000379:methods; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002648:Child; D017023:Coronary Angiography / Q000379:methods; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005080:Exercise Test; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome