Large right ventricular sinusoids in an infant with aorta-left ventricular tunnel and proximal right coronary artery atresia
Peter C Chen1, Joseph A Spinner2, Jeffrey S Heinle1
11Department of Congenital Heart Surgery,Texas Children's Hospital,Baylor School of Medicine,Houston,TX 77030,USA.
Abstract:
We report a 1-month-old infant diagnosed with an aorta-left ventricular tunnel, ventricular septal defect, and right coronary atresia with right ventricular sinusoids. The patient's anatomy and physiology did not indicate right-ventricular-dependent coronary circulation, and therefore right ventricular decompression could be performed without compromising coronary perfusion during surgical correction. A detailed understanding of the coronary anatomy is critical in managing this defect when coronary anomalies are present.
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