Bidirectional coronary venous return in the partial unroofed coronary sinus syndrome complicated by coronary sinus orifice atresia

2020 ◽  
Vol 30 (4) ◽  
pp. 582-584 ◽  
Author(s):  
Dai Asada ◽  
Hisato Ito
Keyword(s):  
Coronary Sinus ◽  
Venous Return ◽  
Paradoxical Embolism ◽  
Pressure Balance ◽  
Caval Vein ◽  
Unroofed Coronary Sinus ◽  
Superior Caval Vein ◽  
Systemic Vein ◽  
Coronary Sinus Orifice Atresia ◽  
Unroofed Coronary Sinus Syndrome

AbstractUnroofed coronary sinus syndrome complicated by coronary sinus orifice atresia is a rare congenital anomaly. There are two alternate exits for coronary venous return: unroofed coronary sinus and persistent left superior caval vein. The coronary venous direction could be bidirectional depending on the pressure balance between the left atrium and the systemic vein. This anomaly has the risk of heart failure, paradoxical embolism, and cyanosis.

Repair of divided left atrium associated with unroofed coronary sinus

1998 ◽  
Vol 8 (2) ◽  
pp. 253-255 ◽  
Author(s):  
Jacques A.M. van Son ◽  
Thomas Walther ◽  
Friedrich W. Mohr
Keyword(s):  
Mitral Valve ◽  
Left Atrium ◽  
Coronary Sinus ◽  
Venous Blood ◽  
Young Infant ◽  
Caval Vein ◽  
Unroofed Coronary Sinus ◽  
Autologous Pericardium ◽  
Superior Caval Vein ◽  
Unroofed Coronary Sinus Syndrome

AbstractIn a young infant with divided left atrium, unroofed coronary sinus syndrome, and persistent left superior caval vein, the pulmonary venous blood was successfully routed, after atrial septectomy, to the mitral valve by constructing a baffle using the partially detached diaphragm which had initially separated the pulmonary venous and vestibular components of the left atrium. The baffle was augmented with a patch of untreated autologous pericardium.

Extracardiac Repair of Complex Unroofed Coronary Sinus

1998 ◽  
Vol 6 (1) ◽  
pp. 52-53
Author(s):  
Jacques AM van Son ◽  
Jörg Hambsch ◽  
Friedrich W Mohr
Keyword(s):  
Coronary Sinus ◽  
Septal Defect ◽  
Pulmonary Veins ◽  
Atrioventricular Septal Defect ◽  
Caval Vein ◽  
Unroofed Coronary Sinus ◽  
Superior Caval Vein ◽  
The Right ◽  
Unroofed Coronary Sinus Syndrome ◽  
Complete Atrioventricular

A technique for conversion of an intra-atrial baffle repair to an extracardiac repair is described for complex unroofed coronary sinus syndrome (including a complete atrioventricular septal defect) with connection of the left superior caval vein to the roof of the left-sided atrium. The left superior caval vein was divided distally and anastomosed to the right superior caval vein in an end-to-side fashion. In addition, the baffle in the left-sided atrium connecting the pulmonary veins with the left atrioventricular valve orifice was removed and the atria were septated. This extracardiac repair technique avoids the various disadvantages of the intra-atrial baffle technique such as creation of a small left atrium with low compliance.

Anatomical considerations for the management of a left-sided superior caval vein draining to the roof of the left atrium

2016 ◽  
Vol 27 (5) ◽  
pp. 846-850
Author(s):  
Jelena Saundankar ◽  
Andrew B. Ho ◽  
Anthony P. Salmon ◽  
Robert H. Anderson ◽  
Alan G. Magee
Keyword(s):  
Left Atrium ◽  
Coronary Sinus ◽  
Right Atrial ◽  
Caval Vein ◽  
Cross Sectional ◽  
Interatrial Communication ◽  
Unroofed Coronary Sinus ◽  
Superior Caval Vein ◽  
Coronary Sinus Ostium ◽  
The Right

AbstractAimsThe pathophysiological entity of a persisting left-sided superior caval vein draining into the roof of the left atrium represents an extreme form of coronary sinus de-roofing. This is an uncommon, but well-documented condition associated with systemic desaturation due to a right-to-left shunt. Depending on the size of the coronary ostium, the defect may also present with right-sided volume loading. We describe two patients, both of whom presented with desaturation, and highlight the important anatomical features underscoring management.Methods and ResultsBoth patients were managed interventionally with previous assessment of the size of the coronary sinus ostium through cross-sectional imaging. This revealed a restrictive interatrial communication at the right atrial mouth of the coronary sinus in both patients, which permitted an interventional approach, as the residual left-to-right shunt subsequent to closure of the aberrant vessel would be negligible. At intervention, test occlusion of the left superior caval vein allowed assessment of decompressing vessels before successful occlusion using an Amplatzer Vascular Plug.ConclusionsPersistence of a left superior caval vein draining to the left atrium may be associated with an interatrial communication at the mouth of the unroofed coronary sinus. The ostium of the de-roofed coronary sinus can be atretic, restrictive, normally sized, or enlarged. Careful assessment of the size of this defect is required before treatment. In view of its importance, which has received little attention in the literature to date, we suggest an additional consideration to the classification of unroofed coronary sinus.

P80 Bilateral superior caval vein associated with unroofed coronary sinus

2017 ◽  
Author(s):  
Eliza Cinteza ◽  
Mihaela Balgradean ◽  
Luca Giugno ◽  
Alessandro Giamberti ◽  
Cristina Filip ◽  
...  
Keyword(s):  
Coronary Sinus ◽  
Caval Vein ◽  
Unroofed Coronary Sinus ◽  
Superior Caval Vein

Slow pathway cryoablation in a child with absent right superior caval vein and persistent left superior caval vein draining into the coronary sinus

2015 ◽  
Vol 178 ◽  
pp. 178-180
Author(s):  
Alfredo Di Pino ◽  
Elio Caruso ◽  
Placido Gitto ◽  
Luca Costanzo ◽  
Salvatore Patanè ◽  
...  
Keyword(s):  
Coronary Sinus ◽  
Slow Pathway ◽  
Caval Vein ◽  
Superior Caval Vein

Right-to-left shunt through the cardiac veins after the Fontan procedure

2000 ◽  
Vol 10 (4) ◽  
pp. 416-418 ◽  
Author(s):  
Hideki Uemura ◽  
Toshikatsu Yagihara ◽  
Osamu Monta
Keyword(s):  
Coronary Sinus ◽  
Fontan Procedure ◽  
The Other ◽  
Caval Vein ◽  
Postoperative Course ◽  
Superior Caval Vein ◽  
Cardiac Veins

AbstractWe found right-to-left shunts through the cardiac veins postoperatively in 2 patients who had undergone the Fontan procedure. In one of the patients, channels were present through the cardiac veins independent of the coronary sinus. In the other patient, an atretic orifice for the coronary sinus, coupled with a persistent left-sided superior caval vein, complicated the postoperative course.

Uncommon presentation and surgical correction of unroofed coronary sinus syndrome

2003 ◽  
Vol 76 (2) ◽  
pp. 619-621 ◽  
Author(s):  
Federico Brunelli ◽  
Andrea Amaducci ◽  
Zen Mhagna ◽  
Giovanni Troise ◽  
Eugenio Quaini
Keyword(s):  
Coronary Sinus ◽  
Surgical Correction ◽  
Unroofed Coronary Sinus ◽  
Uncommon Presentation ◽  
Unroofed Coronary Sinus Syndrome

Biatrial drainage of right superior caval vein with preferential streaming into the left atrium

2019 ◽  
Vol 29 (7) ◽  
pp. 996-998
Author(s):  
Omar Abu-Anza ◽  
Ravi Ashwath
Keyword(s):  
Atrial Septal Defect ◽  
Left Atrium ◽  
Septal Defect ◽  
Venous Return ◽  
Sinus Venosus ◽  
Cardiac Anomaly ◽  
Caval Vein ◽  
Superior Caval Vein ◽  
Anomalous Pulmonary Venous Return ◽  
The Right

AbstractBiatrial drainage of the right superior caval vein is an extremely rare cardiac anomaly that generally presents in childhood. We present a case of anomalous connection of the right superior caval vein with superior sinus venosus atrial septal defect and partial anomalous pulmonary venous return in a 5-month-old male presenting with unexplained cyanosis and hypoxia.

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