title: Light-guided surgery to repair coronary sinus orifice atresia with left superior vena cava.
abstract: An 8-month-old male with coronary sinus orifice atresia, left superior vena cava, and single ventricle underwent light-guided coronary sinus unroofing concomitant with bidirectional cavopulmonary anastomosis to circumvent coronary sinus hypertension. During surgery, a 2.25 Fr angioscopic catheter was inserted into the coronary sinus via the left superior vena cava. The coronary sinus, lit by the illumination obtained from the catheter, was readily located from the left atrial interior, and unroofed. Light-guided coronary sinus unroofing is an easy, safe, and quick technique for the creation of unobstructed coronary sinus drainage in patients with coronary sinus orifice atresia and left superior vena cava.
authors.affiliation: Department of Cardiovascular Surgery and Pediatrics, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo 150-8935, Japan. yukihirokaneko@hotmail.com
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Kaneko
authors.forename: Jotaro
authors.initials: J
authors.lastname: Kobayashi
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Keiji
authors.initials: K
authors.lastname: Tsuchiya
mesh_terms: D000714:Anastomosis, Surgical; D054326:Coronary Sinus / Q000002:abnormalities* / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008027:Light; D008297:Male; D014683:Vena Cava, Superior / Q000002:abnormalities* / Q000601:surgery*