title: Transcatheter closure of unroofed coronary sinus using covered stents in an adult with drainage of the coronary sinus to the right ventricle after supra-annular tricuspid valve replacement.
abstract: We present a rare case of unroofed coronary sinus in a patient who underwent supra-annular tricuspid valve replacement with consequent drainage of the coronary sinus to the right ventricle. It is unclear whether the coronary sinus was unroofed congenitally or iatrogenically. This rare setup resulted in significant cyanosis. The abnormal drainage was successfully closed via trans-catheter delivery of covered stents with resolution of the cyanosis. © 2017 Wiley Periodicals, Inc.
authors.affiliation: Rush Center for Congenital and Structural Heart Disease, Rush University Children's Hospital, Chicago, Illinois.
authors.forename: Bassel
authors.identifier: http://orcid.org/0000-0003-0811-446X
authors.initials: B
authors.lastname: Mohammad Nijres
authors.affiliation: Department of Cardiology and Cardiac Surgery, Our Lady's Children's Hospital, Dublin, Ireland.
authors.forename: Damien
authors.initials: D
authors.lastname: Kenny
authors.affiliation: Department of Pediatric cardiology, Rockford Memorial Hospital, Rockford, Illinois.
authors.forename: Suhaib
authors.initials: S
authors.lastname: Kazmouz
authors.affiliation: Weill Cornell Medicine & Sidra Medical and Research Center, Doha, Qatar.
authors.forename: Ziyad M
authors.initials: ZM
authors.lastname: Hijazi
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization / Q000295:instrumentation*; D017023:Coronary Angiography; D054326:Coronary Sinus / Q000000981:diagnostic imaging / Q000503:physiopathology; D003490:Cyanosis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000503:physiopathology; D006439:Hemodynamics; D006801:Humans; D011474:Prosthesis Design; D015607:Stents; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D016278:Ventricular Function, Right
keywords: Bubble study; atrial septal defect coronary sinus type; transesophageal echocardiogram