ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Robert Santoscoy
Henry L. Walters, III
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Santoscoy, R.
Right arrow Articles by Hakimi, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Santoscoy, R.
Right arrow Articles by Hakimi, M.

Ann Thorac Surg 1996;61:879-882
© 1996 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Coronary Sinus Ostial Atresia With Persistent Left Superior Vena Cava

Robert Santoscoy, MD, Henry L. Walters, III, MD, Robert D. Ross, MD, Juanita M. Lyons, MS, Mehdi Hakimi, MD

Departments of Cardiovascular Surgery and Pediatric Cardiology, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, Michigan

Accepted for publication November 16, 1995.

Background. Atresia of the coronary sinus orifice with a persistent left superior vena cava is an intrinsically benign cardiac anomaly with important surgical implications.

Methods. The medical records of 5 patients with atresia of the coronary sinus orifice with a persistent left superior vena cava were reviewed retrospectively, and a computer search of the world literature describing this cardiac malformation was undertaken.

Results. The 5 patients ranged in age from 9 months to 5 years. In 2, the diagnosis was made preoperatively by angiocardiography, and in 3, the abnormality was found incidentally at the time of cardiotomy for repair of associated congenital heart disease. Four of the 5 patients underwent repair of associated cardiac lesions. During operation, care was taken to avoid disruption of left superior vena cava flow to prevent coronary venous obstruction. All patients survived and are doing well at follow-up.

Conclusions. Atresia of the coronary sinus orifice with persistent left superior vena cava is, in itself, a benign anomaly without physiologic consequence. However, the recognition of this lesion during repair of associated cardiac lesions is of vital importance to the cardiac surgeon. Interruption of this sole route of coronary venous drainage can potentially lead to myocardial ischemia and necrosis.




This article has been cited by other articles:


Home page
 EuropaceHome page
M. Sterlinski, C. Sosnowski, D. Zajac, W. Ruzyllo, and H. Szwed
Is coronary vein angioplasty necessary to provide cardiac resynchronization in selected patients? A case report
Europace, June 2, 2008; (2008) eun148v1.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
Y. Kaneko, J. Kobayashi, Y. Yamamoto, and K. Tsuchiya
Light-guided surgery to repair coronary sinus orifice atresia with left superior vena cava
Eur. J. Cardiothorac. Surg., May 1, 2008; 33(5): 939 - 941.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. T. Salminen, T. Hakala, J. Pihkala, I. Mattila, J. Puntila, and H. Sairanen
Coronary sinus orifice atresia with left superior vena cava in patients with univentricular heart.
Ann. Thorac. Surg., May 1, 2006; 81(5): e16 - e17.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
Y. Oshima, Y. Doi, T. Misaki, and F. Ichida
Surgical repair of coronary sinus orifice atresia
Eur. J. Cardiothorac. Surg., February 1, 2005; 27(2): 351 - 352.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
T. C. Demos, H. V. Posniak, K. L. Pierce, M. C. Olson, and M. Muscato
Venous Anomalies of the Thorax
Am. J. Roentgenol., May 1, 2004; 182(5): 1139 - 1150.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
N. K. Jha, A. Gogna, T. H. Tan, K. Y. Wong, and S. Shankar
Atresia of coronary sinus ostium with retrograde drainage via persistent left superior vena cava
Ann. Thorac. Surg., December 1, 2003; 76(6): 2091 - 2092.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
N. Ohta, K. Sakamoto, M. Kado, M. Nishioka, and M. Yokota
Surgical treatment of coronary sinus orifice atresia with hypoplastic left heart syndrome after total cavo-pulmonary connection
Ann. Thorac. Surg., February 1, 2002; 73(2): 653 - 655.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
C. R. Bridges, R. C. Gorman, M. M. Stecker, and J. E. Bavaria
Acute type A aortic dissection: retrograde perfusion with left superior vena cava
Ann. Thorac. Surg., June 1, 2000; 69(6): 1940 - 1941.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. W. Gaynor, P. M. Weinberg, and T. L. Spray
Congenital Heart Surgery Nomenclature and Database Project: systemic venous anomalies
Ann. Thorac. Surg., April 1, 2000; 69(4): S70 - 76.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
L H P M Filippini, C Ovaert, D G Nykanen, and R M Freedom
Reopening of persistent left superior caval vein after bidirectional cavopulmonary connections
Heart, May 1, 1998; 79(5): 509 - 512.
[Abstract] [Full Text]

Home page
 HeartHome page
M Yamaguchi, M Shimizu, and H Mabuchi
Cavernous haemangioma in the coronary sinus
Heart, May 1, 1998; 79(5): 516 - 517.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1996 by The Society of Thoracic Surgeons.