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Federico Brunelli
Zen Mhagna
Giovanni Troise
Eugenio Quaini
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Right arrow Congenital - cyanotic

Ann Thorac Surg 2003;76:619-621
© 2003 The Society of Thoracic Surgeons

Case report

Uncommon presentation and surgical correction of unroofed coronary sinus syndrome

Federico Brunelli, MD*a, Andrea Amaducci, MDa, Zen Mhagna, MDa, Giovanni Troise, MDa, Eugenio Quaini, MDa

a Cardiac Surgery Unit, Private No-Profit Hospital Poliambulanza, Brescia, Italy

Accepted for publication December 23, 2002.

* Address reprint requests to Dr Brunelli, Cardiac Surgery Unit, Private No-Profit Hospital Poliambulanza, via Bissolati 57, Brescia 25125, Italy
e-mail: cch-segreteria.poli{at}poliambulanza.it

A 59-year-old man with signs and symptoms of congestive heart failure, occurring a few months after an infective episode, underwent cardiac investigations revealing severe biventricular dysfunction, persistent left superior vena cava with almost completely unroofed coronary sinus, and critical stenosis of the proximal right coronary artery. Surgical correction of the congenital malformation associated with revascularization of the right coronary allowed a prompt recovery of clinical conditions and ventricular function.






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