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Ann Thorac Surg 1990;50:767-770
© 1990 The Society of Thoracic Surgeons

Articles

Unusual opening of coronary sinus in atrioventricular septal defects

Benson R. Wilcox, MD*, Robert H. Anderson, MD1, G.William Henry, MD, Sandra S. Mattos, MD

Divisions of Cardiothoracic Surgery and Pediatric Cardiology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA

Accepted for publication June 29, 1990.

* Address reprint requests to Dr Wilcox, CB 7065, 108 Burnett-Womack Building, Chapel Hill, NC 27599-7065.

The coronary sinus is an important landmark for the position of the atrial component of the atrioventricular conduction axis and, thus, assumes special relevance to the surgeon in the operating room. We describe here 2 patients with atrioventricular septal defect characterized by an unusual termination of the coronary sinus within the left atrium. We discuss the potential importance of this finding to the disposition and surgical avoidance of the conduction tissues.




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S. Y. Ho, L. M. Gerlis, J. Toms, C. Lincoln, and R. H. Anderson
Morphology of the posterior junctional area in atrioventricular septal defects
Ann. Thorac. Surg., August 1, 1992; 54(2): 264 - 270.
[Abstract] [PDF]


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