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
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
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.