Reestablishment the roof of coronary sinus in treating unroofed coronary sinus syndrome with endocardial cushion defect and persistent left superior vena cava
10.3760/cma.j.issn.1001-4497.2010.03.001
- VernacularTitle:冠状窦顶重建治疗无顶综合征合并心内膜垫缺损和永存左上腔静脉
- Author:
Xiangming FAN
;
Jun YAN
;
Qiang WANG
;
Guohua LUO
;
Xiaodong LV
;
Yinglong LIU
- Publication Type:Journal Article
- Keywords:
Heart defects,congenital;
Cardiac surgical procedures;
Endocardial cushion defects;
Unroofed coronary sinus syndrome;
Persistent left superior vena cava
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2010;26(3):145-147
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the surgical procedures of unroofed coronary sinus syndrome with endocardial cushion defect and persistent left superior vena cava.Methods From 2000 to 2008,753 cases of endocardial cushion defect underwent surgical repair.Among them 15 cages(2.0%)were associated with persistent left superior vena cava and unroofed coronary sinus syndrome.The drainage of the persistent left superior vena cava and coronary vein were corrected simultaneously during the operation by reestablishing the roof of the coronary sinus.The persistent left superior vena cava were drained to right atrium by intra-atrial tunnel with pericardial patch or left atrium folding in 14 cases and it was ligated in the remain one.Most of the coronary veins were drained into right atrium after the correction of cardiac defect.Results One patient died of severe pulmonary infection early after operation.Echocardiogram indicated that the velocity of left superior vena cava increased in the site of the roof of left atrium in one patient after operation.No obstruction of vena cava and pulmonary vein and remnant shunt between the atriums were found in the other 14 cases.There were no death and other complications during3 months to 6 years of follow-up.Conclusion The surgical procedures of unroofed coronary sinus syndrome with endocardial cushion defect and persistent left superior vena cava is difficult and good result can be expected by reestablishing the roof of the coronary sinus.
