Left Ventricular Inflow Obstruction Caused by a Persistent Left Superior Vena Cava and a Dilated Coronary Sinus: A case report.
- Author:
Hyunm Tae SIM
1
;
Tae Jin YUN
;
Won Kyoung JHANG
;
Wan Sook JANG
;
Jea Kon KO
Author Information
1. Division of Pediatric Cardiac Surgery, Asan Medical Center, Ulsan University College of Medicine, Korea. tjyun@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Coronary sinus;
Superior vena cava;
Superior vena cava;
Inflow occlusion
- MeSH:
Chylothorax;
Coronary Sinus*;
Echocardiography;
Heart Failure;
Heart Septal Defects, Atrial;
Humans;
Infant;
Ligation;
Male;
Mitral Valve;
Thoracic Duct;
Vena Cava, Superior*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2007;40(7):499-502
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Left ventricular inflow obstruction can be caused by a persistent left superior vena cava (SVC) and a dilated coronary sinus. A 31-day-old male infant with secondum atrial septal defect (ASD) and bilateral SVC underwent an operation for treating his uncontrollable congestive heart failure. The preoperative 2-dimensional echocardiography showed a normally sized mitral valve shrouded by a dilated coronary sinus. The operation consisted of pericardial patch closure of the ASD, coronary sinus unroofing and left SVC transfer to the right atrial auricle. The postoperative course was complicated by persistent chylothorax, which was controlled by thoracic duct ligation. He was discharged to home at the postoperative day 39. He has been followed up for 9 months and has displayed normal development.
