Atresia of the coronary sinus ostium: surgical implications.
We report a neonatal case of atresia of the coronary sinus ostium draining into a persistent left superior caval vein, associated with aortic arch hypoplasia, ventricular septal defect and mitro-aortic discontinuity. In this setting, left superior caval vein receives the coronary flow, which is directed into the innominate vein and the right atrium. It is mandatory to perform a precise anatomical definition of this unusual cardiac malformation, before repair of associated cardiac defects. Indeed, the interruption of coronary venous drainage could potentially lead to myocardial ischemia and necrosis.
Calcagni
Giulio
G
Ou
Phalla
P
Marini
Davide
D
Bonnet
Damien
D
Agnoletti
Gabriella
G
D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis* / Q000601:surgery*; D018618:Echocardiography, Doppler, Color; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn