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Published in: The International Journal of Cardiovascular Imaging 5/2024

04-05-2024 | Image

NASCI case of the month: “Unroofed coronary sinus without persistent left-sided superior vena cava”

Authors: Eliyas K. Asfaw, Prachi P. Agarwal, Elizabeth M. Lee

Published in: The International Journal of Cardiovascular Imaging | Issue 5/2024

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Abstract

Unroofed sinus is categorized into four subtypes. Types I and II represent complete unroofing with or without an LSVC, respectively [1]. Types III and IV are partial unroofing involving the mid-CS (type III) or near the LA appendage and left superior pulmonary vein (type IV) [1]. CT has advantages over echocardiography in detection of this anomaly (illustrated in this case) as well as in precise delineation of defect and associated findings (presence or absence of LSVC). Short axis reconstructions at the level of CS are helpful in diagnosis. Considerations for repair include location of CS defect, presence of LSVC and other abnormalities as well as comorbidity risks [2].
Literature
1.
go back to reference Sun L et al (2018) Evaluation of unroofed coronary sinus syndrome using cardiovascular CT angiography: an observational study. Am J Roentgenol 211(2):314–320CrossRef Sun L et al (2018) Evaluation of unroofed coronary sinus syndrome using cardiovascular CT angiography: an observational study. Am J Roentgenol 211(2):314–320CrossRef
2.
Metadata
Title
NASCI case of the month: “Unroofed coronary sinus without persistent left-sided superior vena cava”
Authors
Eliyas K. Asfaw
Prachi P. Agarwal
Elizabeth M. Lee
Publication date
04-05-2024
Publisher
Springer Netherlands
Published in
The International Journal of Cardiovascular Imaging / Issue 5/2024
Print ISSN: 1569-5794
Electronic ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-024-03108-9

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