Light-guided surgery to repair coronary sinus orifice atresia with left superior vena cava
Author(s) -
Yukihiro Kaneko,
Jotaro Kobayashi,
Yusuke Yamamoto,
Keiji Tsuchiya
Publication year - 2008
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/j.ejcts.2008.01.048
Subject(s) - coronary sinus , medicine , persistent left superior vena cava , cardiology , ventricle , superior vena cava , atresia , sinus (botany) , catheter , surgery , anastomosis , left coronary artery , artery , botany , biology , genus
An 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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