Publication Date

10-1-2016

Journal

The Texas Heart Journal

DOI

10.14503/THIJ-14-4356

PMID

27777530

Publication Date(s)

October 2016

Language

English

PMCID

PMC5067040

PubMedCentral® Posted Date

10-1-2016

PubMedCentral® Full Text Version

Post-Print

Published Open-Access

yes

Keywords

Coronary vessel anomalies/diagnosis/radiography/surgery, female, heart defects, congenital/pathology/surgery, infant, infarct, venous, pulmonary veins/abnormalities/physiopathology, vena cava, superior/abnormalities/radiography/surgery

Abstract

We report a rare causal association between obstructed supracardiac totally anomalous pulmonary venous drainage and coronary sinus ostial atresia. Our 12-week-old patient developed venous myocardial infarction secondary to coronary venous hypertension because her sole route of coronary venous drainage was obstructed. She recovered after the obstruction was relieved by balloon dilation. Surgical repair then included anastomosis of the pulmonary venous confluence to the left atrium, ligation of the vertical vein, and unroofing of the coronary sinus. Coronary sinus ostial atresia is rarely diagnosed before autopsy.

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