• Gen Thorac Cardiovasc Surg · May 2007

    Case Reports

    Surgical repair of coronary sinus orifice atresia with persistent left superior vena cava in heterotaxia.

    • Shin Takabayashi, Hideto Shimpo, and Kazuto Yokoyama.
    • Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan. shin1111@clin.medic.mie-u.ac.jp
    • Gen Thorac Cardiovasc Surg. 2007 May 1; 55 (5): 197-9.

    AbstractA 6-month-old boy was diagnosed with coronary sinus orifice atresia, double-outlet right ventricle, complete atrioventricular septal defect, pulmonary stenosis, and moderate common atrioventricular valve regurgitation associated with heterotaxy syndrome. Cardiac venous flow drained through a persistent left superior vena cava. We decided to perform coronary sinus orifice unroofing through the right atrium under a guide using a bougie. The persistent left superior vena cava was divided. Bidirectional Glenn anastomosis and edge-to-edge common atrioventricular valve repair were concomitantly performed. After a 1-year follow-up period, the patient is alive and well without any ischemic event.

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