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KMID : 0364020180510020130
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Korean Journal of Thoracic and Cardiovascular Surgery
2018 Volume.51 No. 2 p.130 ~ p.132
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Management of Coronary Sinus Ostial Atresia during a Staged Operation of a Functional Single Ventricle
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Kang Seung-Ri
Park Won-Kyoun
Kwon Bo-Sang
Ko Jae-Kon
Goo Hyun-Woo
Park Jeong-Jun
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Abstract
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Coronary sinus ostial atresia (CSOA) with persistent left superior vena cava (LSVC) in the absence of an unroofed coronary sinus is a benign and rare anomaly that may be taken lightly in most instances. However, if overlooked in patients undergoing univentricular heart repair such as bidirectional Glenn or Fontan-type surgery, fatal surgical outcomes may occur due to coronary venous drainage failure. We report a case of CSOA with a persistent LSVC that was managed through coronary sinus rerouting during a total cavopulmonary connection, and provide a review of the literature regarding this rare anomaly.
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KEYWORD
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Coronary sinus, Fontan procedure, Heart bypass, right
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