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Occlusion of the coronary sinus ostium: A danger for cavopulmonary anastomosis
Author(s) -
Janssen Dana R.,
Graham Thomas P.,
Doyle Thomas P.,
Moore J. Donald
Publication year - 2005
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20264
Subject(s) - medicine , occlusion , coronary sinus , anastomosis , ostium , cardiac catheterization , ventricle , cardiology , surgery , angiography , superior vena cava , radiology
Coronary sinus (CS) ostial obstruction decompressing through a left superior vena cava is a rare finding and presents unique risks to patients requiring a Glenn anastomosis for single‐ventricle palliation. Preoperative diagnosis is imperative in order to avoid inadvertent ligation or coil occlusion. We report three cases with single‐ventricle physiology and CS obstruction identified at cardiac catheterization. Balloon occlusion angiography proved valuable in making the diagnosis. Catheter Cardiovasc Interv 2005;64:108–111. © 2004 Wiley‐Liss, Inc.