PDF herunterladen
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2010; 20(03): 215-217
DOI: 10.4103/0971-3026.69359
Cardiac

Case report: Completely unroofed coronary sinus with a left superior vena cava draining into the left atrium studied by cardiovascular magnetic resonance

Vimal Raj
Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital and Imperial College, Sydney Street, SW3 6NP, London, United Kingdom
,
Sanjiv Joshi
Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital and Imperial College, Sydney Street, SW3 6NP, London, United Kingdom
,
Yuen Chi Ho
Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital and Imperial College, Sydney Street, SW3 6NP, London, United Kingdom
,
Philip J Kilner
Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital and Imperial College, Sydney Street, SW3 6NP, London, United Kingdom
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
  als PDF herunterladen Lizenzen und Reprints

Abstract

A persistent left superior vena cava (LSVC) draining through a dilated coronary sinus into the right atrium is a relatively common congenital cardiovascular anomaly. It is readily identified by cardiovascular magnetic resonance (CMR). However, a LSVC draining into the left atrium (LA) and associated with unroofing of the coronary sinus, with resulting interatrial communication, is rare and may have important clinical consequences. As with any large atrial septal defect, it can be associated with a higher than expected incidence of pulmonary arterial hypertension, systemic embolization, and brain abscesses. In this report, we present a case of a completely unroofed coronary sinus with a persistent LSVC draining directly into the LA and illustrate the role of CMR in the diagnosis and evaluation of such anomalies.

Keywords

Atrial septal defect - cardiovascular magnetic resonance imaging - pulmonary hypertension - unroofed coronary sinus


Publikationsverlauf

Artikel online veröffentlicht:
02. August 2021

© 2010. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Warnes CA, Williams RG, Bashore TM, Child JS, Connolly HM, Dearani JA , et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 2008;52:e1-121.
  • 2 Joffe DC, Rivo J, Oxorn DC. Coronary sinus atrial septal defect. Anesth Analg 2008;107:1163-5.
  • 3 Ootaki Y, Yamaguchi M, Yoshimura N, Oka S, Yoshida M, Hasegawa T. Unroofed coronary sinus syndrome: diagnosis, classification, and surgical treatment. J Thorac Cardiovasc Surg 2003;126:1655-6.
  • 4 Attenhofer Jost CH, Connolly HM, Danielson GK, Dearani JA, Warnes CA, Tajik J A. Clinical features and surgical outcome in 25 patients with fenestrations of the coronary sinus. Cardiol Young 2007;17:592-600.
  • 5 Kirklin J, BG B-B. Cardiac Surgery. New York: John Wiley and Sons; 1986.
  • 6 Hahm JK, Park YW, Lee JK, Choi JY, Sul JH, Lee SK, et al. Magnetic resonance imaging of unroofed coronary sinus: Three cases. Pediatr Cardiol 2000;21:382-7.
  • 7 Low SC, Oliveira GR, Maki JH. Magnetic resonance imaging of unroofed coronary sinus. Heart 2009;95:720.