Atresia of the coronary sinus ostium with persistent left superior caval vein
Niraj Nirmal Pandey1, Aprateem Mukherjee1, Raghav Bansal2
1Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.
Insights
A rare congenital heart defect, ostial atresia of the coronary sinus, was incidentally found in a woman with congenitally corrected transposition. This condition involved abnormal drainage of the coronary sinus into the superior caval vein.
Area of Science:
- Cardiology
- Radiology
- Anatomy
Background:
- Congenitally corrected transposition of the great arteries (ccTGA) is a complex congenital heart defect.
- Coronary sinus anomalies are uncommon but can have significant clinical implications.
- Incidental findings during imaging studies are crucial for identifying rare conditions.
Abstract:
We describe a case of a 33-year-old woman with congenitally corrected transposition where computed tomography angiography incidentally detected ostial atresia of the coronary sinus with dilatation of the terminal parts of the middle cardiac vein and great cardiac vein and retrograde drainage of the coronary sinus into the persistent left superior caval vein, the intercommunicating vein, then to the right superior caval vein, and ultimately into the right atrium.
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