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Updated: May 7, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Surgical Repair of a Coronary Sinus Atrial Septal Defect in an Elderly Patient

Fumihiro Miyashita1, Tomoaki Suzuki2

  • 1Department of Cardiovascular Surgery, Koto Memorial Hospital, Shiga, Japan.

Annals of Thoracic Surgery Short Reports
|January 10, 2025
PubMed

Insights

This report details a rare coronary sinus atrial septal defect diagnosed in an elderly patient. Successful surgical treatment for this uncommon heart anomaly, alongside severe mitral and tricuspid regurgitation, is presented.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Imaging

Background:

  • Coronary sinus atrial septal defect (CSASD), or unroofed coronary sinus, is a rare congenital heart anomaly.
  • Elderly patients with CSASD may be overlooked due to atypical presentation.
  • Advancements in imaging techniques are improving preoperative diagnosis of CSASD.

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