Partially unroofed coronary sinus with persistent left superior vena cava: the utility of two and three-dimensional transesophageal echocardiography: a case report
Korean Journal of Anesthesiology 2014³â 67±Ç 1È£ p.52 ~ p.56
(Yonekura Hiroshi) - Kobe City Medical Center General Hospital Department of Anesthesiology and Critical Care
(Kanazawa Shinya) - Kobe City Medical Center General Hospital Department of Anesthesiology and Critical Care
(Miyawaki Ikuko) - Kobe City Medical Center General Hospital Department of Anesthesiology and Critical Care
(Yamazaki Kazuo) - Kobe City Medical Center General Hospital Department of Anesthesiology and Critical Care
Abstract
Unroofed coronary sinus (URCS) is a rare cardiac anomaly, in which communication occurs between the coronary sinus (CS) and the left atrium (LA) because of partial or complete absence of the CS roof. A 30-year-old woman was scheduled for surgical closure of atrial septal defect, mitral valve repair and tricuspid annuloplasty. The intraoperative transesophageal echocardiography (TEE) revealed left-to-right shunt between the CS and the LA. The three-dimensional (3D) TEE confirmed the diagnosis of partially URCS. This defect was repaired with a pericardial patch. In this case, the 3D images of URCS, which were a helpful supplement to the 2D images, providing better visualization of the wall defect and more information regarding the size and location of the defect. The combined use of 2D and 3D images provides valuable information to aid in understanding the anatomy and morphology of this rare anomaly.
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Congenital heart defects, Coronary sinus, Persistent left superior vena cava, Three-dimensional echocardiography
KMID :
0356920140670010052
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