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European Journal of Echocardiography 2007 8(5):398-401; doi:10.1016/j.euje.2006.06.004
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Copyright © 2006, The European Society of Cardiology

Unroofed coronary sinus and persistent left superior vena cava

P.K. Kong* and F. Ahmad

Department of Cardiology, Russells Hall Hospital, Dudley Group of Hospitals NHS Trust, Pensnett Road, Dudley DY1 2HQ, United Kingdom

Received 13 February 2006; received in revised form 26 May 2006; accepted after revision 2 June 2006.

pkdd210{at}yahoo.co.uk

* Corresponding author. Tel.: +44 121 4261462.


  Abstract

This report describes a case of unroofed coronary sinus and persistent left superior vena cava discovered during an echocardiographic investigation for dilated pulmonary artery. An unroofed coronary sinus is a rare interatrial shunt that is commonly associated with a persistent left superior vena cava. The latter is a usual cause of a dilated coronary sinus. The detection of a dilated coronary sinus should therefore prompt the search for abnormal coronary sinus drainage and other cardiac abnormalities. The treatment of unroofed coronary sinus and persistent left superior vena cava is undertaken only after assessing the pre- and post-treatment haemodynamics of all co-existing abnormalities.

Keywords: Unroofed coronary sinus; Persistent left superior vena cava; Congenital heart disease; Echocardiography


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