• Eur J Cardiothorac Surg · May 2008

    Review Case Reports

    Light-guided surgery to repair coronary sinus orifice atresia with left superior vena cava.

    • Yukihiro Kaneko, Jotaro Kobayashi, Yusuke Yamamoto, and Keiji Tsuchiya.
    • Department of Cardiovascular Surgery and Pediatrics, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo 150-8935, Japan. yukihirokaneko@hotmail.com
    • Eur J Cardiothorac Surg. 2008 May 1; 33 (5): 939-41.

    AbstractAn 8-month-old male with coronary sinus orifice atresia, left superior vena cava, and single ventricle underwent light-guided coronary sinus unroofing concomitant with bidirectional cavopulmonary anastomosis to circumvent coronary sinus hypertension. During surgery, a 2.25 Fr angioscopic catheter was inserted into the coronary sinus via the left superior vena cava. The coronary sinus, lit by the illumination obtained from the catheter, was readily located from the left atrial interior, and unroofed. Light-guided coronary sinus unroofing is an easy, safe, and quick technique for the creation of unobstructed coronary sinus drainage in patients with coronary sinus orifice atresia and left superior vena cava.

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