Clinical Features and Surgical Outcomes of Coronary Sinus Orifice Atresia

详细信息    查看全文

• 作者：Naoki Tadokoro ; Takaya Hoashi ; Koji Kagisaki ; Masatoshi Shimada…
• 关键词：Coronary sinus orifice atresia ; Congenital heart disease ; Fontan
• 刊名：Pediatric Cardiology
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：37
• 期：2
• 页码：387-391
• 全文大小：597 KB
• 参考文献：1.Adatia I, Gittenberger-de Groot AC (1995) Unroofed coronary sinus and coronary sinus orifice atresia. Implications for management of complex congenital heart disease. J Am Coll Cardiol 25:948–953CrossRef PubMed
  2.Kaneko Y, Kobayashi J, Yamamoto Y, Tsuchiya K (2008) Light-guided surgery to repair coronary sinus orifice atresia with left superior vena cava. Eur J Cardiothorac Surg. 33:939–941CrossRef PubMed
  3.Merchant FM, Kella D, Book WM, Langberg JJ, Lloyd MS (2014) Cardiac resynchronization therapy in adult patients with repaired tetralogy of fallot and left ventricular systolic dysfunction. Pacing Clin Electrophysiol. 37:321–328CrossRef PubMed
  4.Raghib G, Ruttenberg HD, Anderson RC, Amplatz K, Adams P Jr, Edwards JE (1965) Termination of Left Superior Vena Cava in Left Atrium, Atrial Septal Defect, and Absence of Coronary Sinus. Circulation 31:906–918CrossRef PubMed
  5.Santoscoy R, Walters HL III, Ross RD, Lyons JM, Hakimi M (1996) Coronary sinus ostial atresia with persistent left superior vena cava. Ann Thorac Surg 61:879–882CrossRef PubMed
  6.Shum JS, Kim SM, Multidetector Choe YH (2012) CT and MRI of ostial atresia of the coronary sinus, associated collateral venous pathways and cardiac anomalies. Clin Radiol. 67:e47–e52CrossRef PubMed
  7.Stevenhagen J, Meijer A, Bracke FA, van Gelder BM (2008) Coronary sinus atresia and persistent left superior vena cava with the presence of thrombus complicating implantation of a left ventricular pacing lead. Europace. 10:384–387CrossRef PubMed
  8.Takabayashi S, Shimpo H, Yokoyama K (2007) Surgical repair of coronary sinus orifice atresia with persistent left superior vena cava in heterotaxia. Gen Thorac Cardiovasc Surg 55:197–199CrossRef PubMed
  9.Uemura H, Yagihara T, Monta O (2000) Right-to-left shunt through the cardiac veins after the Fontan procedure. Cardiol Young. 10:416–418CrossRef PubMed
  
• 作者单位：Naoki Tadokoro (1)
  Takaya Hoashi (1)
  Koji Kagisaki (1)
  Masatoshi Shimada (1)
  Kenichi Kurosaki (2)
  Isao Shiraishi (2)
  Hajime Ichikawa (1)
  
  1. Departments of Pediatric Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, 565-8565, Osaka, Japan
  2. Departments of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Cardiology
  Cardiac Surgery
  Vascular Surgery
  
• 出版者：Springer New York
• ISSN：1432-1971

文摘

This study aimed to review clinical features and surgical outcomes of coronary sinus orifice atresia (CSOA). From 2003 to 2015, 6 patients were diagnosed with CSOA. Median age at diagnosis was 2 years (range 0.2–73). CSOA was preoperatively diagnosed in 2 patients, intraoperatively in 3, and postoperatively in 1. Coronary venous blood flow drained into innominate vein through the left superior vena cava (LSVC) in 2, into the atrium through Thebesian veins in 2, and into both in 2. Three patients required surgical treatment. The first patient with a congenitally corrected transposition of great arteries had undergone ligation of the LSVC and a cutback of the proximal LSVC into the functional right atrium during the double-switch operation. The second patient with tricuspid atresia gradually developed hypoxia after the Fontan operation due to the increase in veno-venous shunt blood flow from the Fontan pathway to the right atrium through the LSVC and Thebesian veins, so that the LSVC was ligated and the coronary sinus was unroofed 6 years after Fontan operation. The other functional single ventricle patient had undergone ligation of the LSVC and a cutback of the proximal LSVC into the left atrium during the Fontan operation. There were no mortalities at the median follow-up of 9 years (1–11). CSOA should be suspected when the LSVC and usual-sized innominate vein were presented. Surgical treatment is required if the postoperative hemodynamics would affect coronary venous perfusion, like single ventricular palliation (244 words).