Management of Coronary Sinus Ostial Atresia during a Staged Operation of a Functional Single Ventricle

Coronary sinus ostial atresia (CSOA) with persistent left superior vena cava (LSVC) in the absence of an unroofed coronary sinus is a benign and rare anomaly that may be taken lightly in most instances. However, if overlooked in patients undergoing univentricular heart repair such as bidirectional G...

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Bibliographic Details
Published in:The Korean journal of thoracic and cardiovascular surgery 2018-04, Vol.51 (2), p.130-132
Main Authors: Kang, Seung Ri, Park, Won Kyoun, Kwon, Bo Sang, Ko, Jae Kon, Goo, Hyun Woo, Park, Jeong-Jun
Format: Article
Language:English
Subjects:
Case Report
Coronary sinus
Fontan procedure
Heart bypass
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Summary:Coronary sinus ostial atresia (CSOA) with persistent left superior vena cava (LSVC) in the absence of an unroofed coronary sinus is a benign and rare anomaly that may be taken lightly in most instances. However, if overlooked in patients undergoing univentricular heart repair such as bidirectional Glenn or Fontan-type surgery, fatal surgical outcomes may occur due to coronary venous drainage failure. We report a case of CSOA with a persistent LSVC that was managed through coronary sinus rerouting during a total cavopulmonary connection, and provide a review of the literature regarding this rare anomaly.
ISSN:2233-601X
2093-6516
DOI:10.5090/kjtcs.2018.51.2.130