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Michio Yokota
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Ann Thorac Surg 2002;73:653-655
© 2002 The Society of Thoracic Surgeons

Case report

Surgical treatment of coronary sinus orifice atresia with hypoplastic left heart syndrome after total cavo-pulmonary connection

Noritaka Ohta, MD*a, Kisaburo Sakamoto, MDa, Miwako Kado, MDa, Masahiko Nishioka, MDa, Michio Yokota, MDa

a Department of Cardiovascular Surgery, Shizuoka Children’s Hospital, Shizuoka, Japan

Accepted for publication April 26, 2001.

* Address reprint requests to Dr Ohta, Department of Cardiovascular Surgery, Shizuoka Children’s Hospital, Urushiyama 860, Shizuoka 420-8660, Japan
e-mail: ohtan{at}jun.ncvc.go.jp

Atresia of the coronary sinus orifice is rare. We describe the surgical treatment of coronary orifice atresia in an infant with a persistent left superior vena cava after total cavo-pulmonary connection for hypoplastic left heart syndrome. The diagnosis was made by cardiac catheterization after total cavo-pulmonary connection at 8 months of age. After surgery, cardiac performance deteriorated. At reoperation, the coronary sinus was fenestrated to the left atrium. The patient survived surgical treatment of coronary sinus ostial atresia unroofed to the left atrium, guiding the placement of the fenestration with a probe placed through the open cardiac end of left superior vena cava.




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