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Coronary Sinus Blues: A Word of Caution When Placing the Coronary Sinus Ostium in the Left Atrium
Clayton J Rust1, Mohan M John1, Joshua M Rosenblum1
1Division of Cardiothoracic Surgery, Children's Healthcare of Atlanta/Emory University School of Medicine, Atlanta, GA, USA.
Insights
Coronary sinus obstruction after heart surgery is rare. This case highlights its presentation and challenges in managing a patient with an atrioventricular septal defect post-valve replacement.
Area of Science:
- Cardiovascular Surgery
- Cardiac Physiology
- Congenital Heart Disease
Background:
- Complications involving the coronary sinus after cardiac surgery are infrequent.
- Early recognition and intervention are crucial for managing such rare events.
Abstract:
Complications related to the coronary sinus following cardiac surgery are rare and require a high index of suspicion to ensure timely diagnosis and treatment. We describe the clinical presentation and management of a patient with atrioventricular septal defect who developed coronary sinus ostial obstruction following left atrioventricular valve replacement. This manifested as a decline in ventricular function and supraventricular arrhythmias. Surgical enlargement of the coronary sinus ostium was initially successful but failed to produce a durable result.Meeting presentation: Oral presentation at the Congenital Heart Surgeons' Society Annual Meeting; October 19, 2023; Boston, MA.
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