Name: | Description: | Size: | Format: | |
---|---|---|---|---|
1.06 MB | Adobe PDF |
Advisor(s)
Abstract(s)
A 61-year-old man was referred for mild exercise intolerance. He had a previous history of chronic obstructive pulmonary disease, arterial hypertension and was an ex-smoker. Physical examination revealed a systolic murmur and his electrocardiogram showed sinus rhythm and an incomplete right bundle-branch block. A transthoracic echocardiogram was performed and showed mild left ventricular hypertrophy, mild
rheumatic mitro-aortic disease, left atrial (LA) enlargement.
and dilated right ventricle (figure 1 A-D), dilated
coronary sinus (CS) (panel A, small arrow) and a prominent
CS flux into right atria (RA) (panel C, D, large
arrow). Transoesophageal echocardiography revealed a
communication between the LA and the RA through a
dilated coronary sinus (panel E, large arrow). A cardiac
computed tomography confirmed the diagnosis of an
unroofed coronary sinus showing the shunt between LA
and RA through a dilated CS (panel F, large arrow).
Unroofed coronary sinus: multi-modality evaluation
Description
Keywords
congenital heart disease unroofed coronary sinus. cardiac genetics portugal Madeira Island
Citation
Acta Cardiologica, 72:2, 234-23
Publisher
tandfonline.com/loi/tacd20