Missed unroofed coronary sinus
Yusuf Karavelioglu1, Kumral Cagli2, Mucahit Yetim1
1Department of Cardiology, Hitit University, Corum, Turkey.
Echocardiography (Mount Kisco, N.Y.)
|February 9, 2019
Summary
Coronary sinus atrial septal defect (ASD) is a rare congenital heart defect. This case highlights diagnostic challenges and the importance of advanced imaging for accurate detection and treatment.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Medical Diagnostics
Background:
- Coronary sinus atrial septal defect (ASD) is a rare congenital cardiac anomaly.
- Diagnosis can be challenging, potentially leading to missed or delayed identification.
Observation:
- A patient presented with small secundum ASDs and an associated large coronary sinus ASD.
- The coronary sinus ASD was initially missed during evaluation.
Findings:
- Transesophageal echocardiography successfully diagnosed the coronary sinus ASD.
- Diagnosis was confirmed after percutaneous closure of the secundum ASD at another center.
Implications:
- This case underscores the importance of comprehensive echocardiography in diagnosing complex ASDs.
- Accurate diagnosis through advanced imaging is crucial for effective surgical or interventional management of coronary sinus ASDs.
Related Concept Videos
01:21Coronary Circulation
7.2K
The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
7.2K
01:16ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
821
Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
821
01:30Coronary Artery Disease I: Introduction
1.1K
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
1.1K
01:26Coronary Artery Disease II: Pathophysiology
426
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
426
01:30Acute Coronary Syndrome I: Introduction
958
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
958
01:26Acute Coronary Syndrome V: Nursing Management
324
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
324