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Ross procedure following prior unroofing of anomalous coronary artery, pulmonary arteriopexy, and three aortic valve repair operations.
JTCVS Tech
December 2024
Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Spontaneous thrombosis of an unroofed coronary sinus: case report.
Eur Heart J Case Rep
November 2024
Health New Zealand-Te Whatu Ora, Green Lane Cardiovascular Services/Cardiology Department, Auckland City Hospital, Park Road, Grafton, Auckland 1142, New Zealand.
Background: Unroofed coronary sinus (UCS) is a rare congenital anomaly and is usually found incidentally. While coronary sinus thrombosis (CST) can occur following instrumentation of the coronary sinus, spontaneous CST is a rare occurrence and only a few cases have been reported to date. The presence of both rare entities concurrently has not been reported previously.
View Article and Find Full Text PDFTotally endoscopic robotic repair of coronary sinus atrial septal defect with concomitant tricuspid annuloplasty.
Gen Thorac Cardiovasc Surg Cases
September 2024
Department of Cardiovascular Surgery, Osaka Metropolitan University, 1-4-3, Asahichou, Abenoku, Osaka, 545-8585, Japan.
Background: The coronary sinus type of atrial septal defect is rare. Standard treatment typically involves intracardiac repair using conventional sternotomy or thoracotomy incisions; however, robotic technology can offer a feasible alternative due to its ability to provide a high-quality surgical view of this anomaly.
Case Presentation: A 72-year-old man presented with asymptomatic atrial septal defect.
Unroofed coronary sinus, left-sided superior vena cava and mitral insufficiency: A case report and review of the literature.
World J Cardiol
October 2024
Department of Pediatric and Adolescent, American University of Beirut Medical Center, Beirut 1103, Lebanon.
Background: Unroofed coronary sinus (UCS) is a rare subtype of atrial septal defect. It is frequently associated with a persistent left superior vena cava and is often part of a more intricate cardiac malformation.
Case Summary: This report describes a rare case of an adolescent patient with UCS featuring atrial situs solitus, absence of the right superior vena cava and a persistent left superior vena cava draining into the left atrium consistent with total unroofing of the coronary sinus.
Right-to-left-shunts in patients scheduled for neurosurgical intervention in semi-sitting position - a literature review based on two case scenarios.
BMC Anesthesiol
October 2024
Medical Faculty Heidelberg, Department of Anesthesiology, Heidelberg University, Heidelberg, Germany.
Article Synopsis
- Neurosurgery in a semi-sitting position has benefits for some procedures, but it can increase the risk of venous air embolism, especially in patients with specific heart defects.
- Two young patients with congenital heart defects were evaluated using transesophageal echocardiography to identify potential right-to-left shunts before undergoing surgery for vestibular schwannoma.
- Perioperative echocardiography is crucial for detecting potential complications and determining if a semi-sitting position is safe, but surgical teams must be prepared for rapid response if significant air entry occurs.
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