title: Venous Myocardial Infarction in an Infant with Obstructed Totally Anomalous Pulmonary Venous Drainage and Coronary Sinus Ostial Atresia.
abstract: We report a rare causal association between obstructed supracardiac totally anomalous pulmonary venous drainage and coronary sinus ostial atresia. Our 12-week-old patient developed venous myocardial infarction secondary to coronary venous hypertension because her sole route of coronary venous drainage was obstructed. She recovered after the obstruction was relieved by balloon dilation. Surgical repair then included anastomosis of the pulmonary venous confluence to the left atrium, ligation of the vertical vein, and unroofing of the coronary sinus. Coronary sinus ostial atresia is rarely diagnosed before autopsy.
authors: Deepa
authors: D
authors: Prasad
authors: James P
authors: JP
authors: Strainic
authors: Khyati
authors: K
authors: Pandya
authors: Peter C
authors: PC
authors: Kouretas
authors: Ravi C
authors: RC
authors: Ashwath
mesh_terms: D000015:Abnormalities, Multiple; D015906:Angioplasty, Balloon, Coronary; D006348:Cardiac Surgical Procedures; D000072226:Computed Tomography Angiography; D017023:Coronary Angiography / Q000379:methods; D003326:Coronary Circulation; D054326:Coronary Sinus / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D018618:Echocardiography, Doppler, Color; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D007223:Infant; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D012587:Scimitar Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome; D014690:Venous Pressure
keywords: Coronary vessel anomalies/diagnosis/radiography/surgery; female; heart defects, congenital/pathology/surgery; infant; infarct, venous; pulmonary veins/abnormalities/physiopathology; vena cava, superior/abnormalities/radiography/surgery