Surgical Creation of the Coronary Sinus Orifice in an Octogenarian With Heart Failure

Yuichi Yoshida1, Shinya Yokoyama2, Kozo Kaneda2

  • 1Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

Insights

Coronary sinus ostial atresia, a rare condition, was successfully treated in an 82-year-old man with right-sided heart failure. Surgical reconstruction of the coronary sinus provided significant cardiovascular benefits, demonstrating feasibility in elderly patients.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Vascular Anatomy

Background:

  • Coronary sinus (CS) ostial atresia is a rare congenital anomaly, frequently associated with persistent left superior vena cava (PLSVC).
  • Its occurrence in the elderly population is exceptionally rare, presenting unique clinical challenges.
  • Right-sided heart failure can be a consequence of severe CS obstruction.