Anomalies of the Coronary Sinus

Shannon M. Mackey-Bojack, James H. Moller

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Failure to identify the uncommon anomalies of the coronary sinus can have serious consequences during cardiac surgery or interventions. Formed from the left sinus venosus, it can retain connection with the left cardinal vein, creating a persistent left superior vena cava (PLSVC). Another anomaly, unroofed coronary sinus, occurs because of failure in the formation of the wall between the coronary sinus and left atrium. Unroofed coronary sinus includes a combination of left superior vena cava to left atrium, absent coronary sinus, and atrial septal defect in the location of the coronary sinus orifice. Unroofed coronary sinus may be associated with either a right-to-left or a left-to-right shunt, and several variants exist. Atresia of the coronary sinus is rare and often coexists with PLSVC, which serves to provide a site of drainage of coronary venous blood. These anomalies must be recognized by imaging modalities prior to cardiac intervention.

Original languageEnglish (US)
Title of host publicationPediatric Cardiovascular Medicine
Subtitle of host publicationSecond Edition
PublisherWiley Blackwell
Pages518-522
Number of pages5
ISBN (Print)9781444335897
DOIs
StatePublished - Jan 13 2012

Keywords

  • Coronary sinus atresia
  • Coronary sinus embryology
  • Left superior vena cava
  • Unroofed coronary sinus

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