Venous Myocardial Infarction in an Infant with Obstructed Totally Anomalous Pulmonary Venous Drainage and Coronary Sinus Ostial Atresia

Deepa Prasad; James P Strainic; Khyati Pandya; Peter C Kouretas; Ravi C Ashwath

doi:10.14503/THIJ-14-4356

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Venous Myocardial Infarction in an Infant with Obstructed Totally Anomalous Pulmonary Venous Drainage and Coronary Sinus Ostial Atresia

Journal article

Open access

Venous Myocardial Infarction in an Infant with Obstructed Totally Anomalous Pulmonary Venous Drainage and Coronary Sinus Ostial Atresia

Deepa Prasad, James P Strainic, Khyati Pandya, Peter C Kouretas and Ravi C Ashwath

Texas Heart Institute journal, Vol.43(5), pp.430-432

10/2016

DOI: 10.14503/THIJ-14-4356

PMCID: PMC5067040

PMID: 27777530

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Abstract

We report a rare causal association between obstructed supracardiac totally anomalous pulmonary venous drainage and coronary sinus ostial atresia. Our 12-week-old patient developed venous myocardial infarction secondary to coronary venous hypertension because her sole route of coronary venous drainage was obstructed. She recovered after the obstruction was relieved by balloon dilation. Surgical repair then included anastomosis of the pulmonary venous confluence to the left atrium, ligation of the vertical vein, and unroofing of the coronary sinus. Coronary sinus ostial atresia is rarely diagnosed before autopsy.

Coronary Sinus - surgery

Hypertension, Pulmonary - diagnosis

Scimitar Syndrome - surgery

Coronary Vessel Anomalies - physiopathology

Coronary Sinus - abnormalities

Coronary Vessel Anomalies - diagnostic imaging

Humans

Coronary Sinus - diagnostic imaging

Hypertension, Pulmonary - physiopathology

Infant

Myocardial Infarction - diagnostic imaging

Echocardiography, Doppler, Color

Hypertension, Pulmonary - therapy

Angioplasty, Balloon, Coronary

Scimitar Syndrome - complications

Cardiac Surgical Procedures

Coronary Angiography - methods

Coronary Vessel Anomalies - complications

Female

Myocardial Infarction - physiopathology

Myocardial Infarction - etiology

Scimitar Syndrome - physiopathology

Coronary Circulation

Abnormalities, Multiple

Treatment Outcome

Computed Tomography Angiography

Coronary Sinus - physiopathology

Scimitar Syndrome - diagnostic imaging

Coronary Vessel Anomalies - surgery

Venous Pressure

Hypertension, Pulmonary - etiology

Details

Title: Subtitle: Venous Myocardial Infarction in an Infant with Obstructed Totally Anomalous Pulmonary Venous Drainage and Coronary Sinus Ostial Atresia
Creators: Deepa Prasad
James P Strainic
Khyati Pandya
Peter C Kouretas
Ravi C Ashwath
Resource Type: Journal article
Publication Details: Texas Heart Institute journal, Vol.43(5), pp.430-432
DOI: 10.14503/THIJ-14-4356
PMID: 27777530
PMCID: PMC5067040
ISSN: 0730-2347
eISSN: 1526-6702
Language: English
Date published: 10/2016
Academic Unit: Radiology; Stead Family Department of Pediatrics
Record Identifier: 9984093340702771

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