Successful Surgical Closure of
a Coronary Sinus Atrial Septal Defect Using a Heart-Shaped Patch |
(Department of Cardiovascular Surgery, Jikei University
School of Medicine, Kashiwa Hospital, Chiba, Japan)
Asatoshi Mizuno |
Shigeki Horikosh |
Hideto Emoto |
Yoshimasa Uno |
Hiroyuki Suzuki |
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A 21-year-old man with coronary
sinus atrial septal defect (ASD) was treated successfully. This
case had been diagnosed as an ASD without a lower margin preoperatively
but we confirmed this to be a coronary sinus ASD intraoperatively,
and this case was classified as partially unroofed coronary sinus
without PLSVC. The diagnosis of coronary sinus ASD before operation
is sometimes difficult. Therefore we should pay attention to
the location of the defect and the dilated coronary sinus in
echocardiography, and the course of the cardiac catheter entering
into the left atrium, for a correct diagnosis. In this case,
the defect was located in the vicinity of the ostium of a large
coronary sinus, therefore we could close the defect between the
CS and the LA using a heart-shaped patch without any damage to
the AV node.
@Jpn. J. Cardiovasc. Surg. 30F80-82i2001) |
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