XML Template (2014) [16.7.2014–12:32pm] //blrnas3/cenpro/ApplicationFiles/Journals/SAGE/3B2/AANJ/Vol00000/140160/APPFile/SG-AANJ140160.3d
(AAN)
[1–1] [PREPRINTER stage]
Images in Cardiothoracic Medicine and Surgery
Congenital coronary sinus aneurysm Manish Hinduja, Amit Mishra and Ritesh Shah
Figure 1. Computed tomography sagittal image showing the coronary sinus aneurysm.
Asian Cardiovascular & Thoracic Annals 0(0) 1 ß The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492314543931 aan.sagepub.com
Figure 3. Reconstructed image of multislice computed tomography of the heart and great vessels showing the coronary sinus aneurysm. LV: left ventricle; RV: right ventricle.
There was no evidence of a left superior vena cava or anomalous drainage of the pulmonary veins to the coronary sinus. Because the right coronary artery crossed the right ventricular outflow tract, intracardiac repair was performed with a right ventricle-to-pulmonary artery conduit. The coronary sinus aneurysm was closed from inside and plicated from outside. The patient remained in sinus rhythm postoperatively and was doing well at follow-up. Funding Figure 2. Computed tomography axial image showing the coronary sinus aneurysm. IVC: inferior vena cava; LV: left ventricle; RV: right ventricle.
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflict of interest statement Echocardiography in a 4-year-old boy with cyanosis since early childhood revealed double-outlet right ventricle, a subaortic ventricular septal defect, infundibular and valvular pulmonary stenosis, and good-sized pulmonary arteries. Contrast-enhanced computed tomography revealed similar findings with a coronary sinus aneurysm measuring 3.7 3.27 3 cm (Figures 1, 2, and 3). At surgery, the findings were confirmed with L-malposed aorta and an aneurysmal sac from the floor of the coronary sinus. The opening between the aneurysmal sac and coronary sinus measured 4 mm.
None declared. Department of Cardiovascular and Thoracic Surgery, and Cardiac Anaesthesia, UN Mehta Institute of Cardiology and Research Center, Civil Hospital Campus, Asarwa, Ahmedabad, India Corresponding author: Amit Mishra, Department of Cardiovascular and Thoracic Surgery, and Cardiac Anaesthesia, UN Mehta Institute of Cardiology and Research Center (Affiliated to BJ Medical College), New Civil Hospital Campus, Asarwa, Ahmedabad-380016, Gujarat, India. Email: [email protected]
Downloaded from aan.sagepub.com at University of British Columbia Library on November 14, 2015
(AAN)
[1–1] [PREPRINTER stage]
Images in Cardiothoracic Medicine and Surgery
Congenital coronary sinus aneurysm Manish Hinduja, Amit Mishra and Ritesh Shah
Figure 1. Computed tomography sagittal image showing the coronary sinus aneurysm.
Asian Cardiovascular & Thoracic Annals 0(0) 1 ß The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492314543931 aan.sagepub.com
Figure 3. Reconstructed image of multislice computed tomography of the heart and great vessels showing the coronary sinus aneurysm. LV: left ventricle; RV: right ventricle.
There was no evidence of a left superior vena cava or anomalous drainage of the pulmonary veins to the coronary sinus. Because the right coronary artery crossed the right ventricular outflow tract, intracardiac repair was performed with a right ventricle-to-pulmonary artery conduit. The coronary sinus aneurysm was closed from inside and plicated from outside. The patient remained in sinus rhythm postoperatively and was doing well at follow-up. Funding Figure 2. Computed tomography axial image showing the coronary sinus aneurysm. IVC: inferior vena cava; LV: left ventricle; RV: right ventricle.
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflict of interest statement Echocardiography in a 4-year-old boy with cyanosis since early childhood revealed double-outlet right ventricle, a subaortic ventricular septal defect, infundibular and valvular pulmonary stenosis, and good-sized pulmonary arteries. Contrast-enhanced computed tomography revealed similar findings with a coronary sinus aneurysm measuring 3.7 3.27 3 cm (Figures 1, 2, and 3). At surgery, the findings were confirmed with L-malposed aorta and an aneurysmal sac from the floor of the coronary sinus. The opening between the aneurysmal sac and coronary sinus measured 4 mm.
None declared. Department of Cardiovascular and Thoracic Surgery, and Cardiac Anaesthesia, UN Mehta Institute of Cardiology and Research Center, Civil Hospital Campus, Asarwa, Ahmedabad, India Corresponding author: Amit Mishra, Department of Cardiovascular and Thoracic Surgery, and Cardiac Anaesthesia, UN Mehta Institute of Cardiology and Research Center (Affiliated to BJ Medical College), New Civil Hospital Campus, Asarwa, Ahmedabad-380016, Gujarat, India. Email: [email protected]
Downloaded from aan.sagepub.com at University of British Columbia Library on November 14, 2015
