title: Coronary sinus to left atrium communication.
abstract: Coronary sinus anomalies are rare. They can be associated with other vascular anomalies such as persistent left superior vena cava or can occur in isolation. We present a rare case of an isolated coronary sinus communication to the left atrium. This anomaly may be clinically relevant in the setting of significant left-to-right shunting or when shunt reversal results from right-sided heart failure. It may also be significant in cases of persistent atrial fibrillation after attempted pulmonary vein isolation.
authors.affiliation: Department of Radiology, Lahey Hospital & Medical Center, Tufts University School of Medicine, Burlington, Massachusetts, USA.
authors.forename: Almamoon
authors.initials: A
authors.lastname: Justaniah
authors.affiliation: Department of Radiology, Lahey Hospital & Medical Center, Tufts University School of Medicine, Burlington, Massachusetts, USA.
authors.forename: Brady
authors.initials: B
authors.lastname: Mckee
authors.affiliation: Department of Cardiology, Lahey Hospital & Medical Center, Tufts University School of Medicine, Burlington, Massachusetts, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Silver
authors.affiliation: Department of Radiology, Lahey Hospital & Medical Center, Tufts University School of Medicine, Burlington, Massachusetts, USA.
authors.forename: Christoph
authors.initials: C
authors.lastname: Wald
authors.affiliation: Department of Radiology, Lahey Hospital & Medical Center, Tufts University School of Medicine, Burlington, Massachusetts, USA.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Flacke
mesh_terms: D001281:Atrial Fibrillation / Q000209:etiology; D054326:Coronary Sinus / Q000002:abnormalities*; D017548:Echocardiography, Transesophageal; D006325:Heart Atria / Q000002:abnormalities; D006330:Heart Defects, Congenital / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016157:Vascular Fistula / Q000175:diagnosis*
keywords: Coronary sinus anomaly; coronary sinus communication to the left atrium; coronary sinus connection; left-to-right shunt; right-to-left shunt