Mehmet Cansel, Hakan Taşolar, Jülide Yağmur, Erdal Aktürk, Yasin Karakuş

Sağ Atriumdan Sol Atriuma Açılan Kapı: ‘Unroofed’ Koroner Sinüs

Unroofed koroner sinüs sendromu nadir görülen bir kardiyak anomalidir. Genellikle persistan sol vena kava süperiyor eşlik etmektedir. Konjenital kardiyak anomalilerin tanısında transtorasik ve transözofajiyal ekokardiyografi önemli bir yer tutmaktadır. Günümüzde çok-kesitli bilgisayarlı tomografi tetkiğinin koroner arter hastalığı araştırılmasında sık kullanılmaya başlamasıyla birlikte kardiyak anomali sıklığı da artmaya başlamıştır. Olgumuzda unroofed koroner sinüs tanısı çok-kesitli bilgisayarlı tomografi ile konan bir hasta sunulmaktadır. Anahtar kelimeler: Unroofed Koroner Sinüs; Persistan Sol Vena Kava Süperiyor; Çok-Kesitli Bilgisayarlı Tomografi.

Anahtar Kelimeler:

Unroofed Koroner Sinüs; Persistan Sol Vena Kava Süperiyor; Çok-Kesitli Bilgisayarlı Tomografi.

The Door From Right Atrium to the Left Atrium: ‘Unroofed’ Coronary Sinus

Unroofed coronary sinus syndrome is a cardiac anomaly which is seen rare. It is usually accompanied by persistent left superior vena cava. Transthoracic and transesophageal echocardiography plays a significant role in the diagnosis of congenital cardiac anomalies. Nowadays, the frequency of cardiac anomalies began to increase with the increased usage of multi-slice computed tomography in the investigation of coronary artery disease. In our case, a patient with unroofed coronary sinus who was diagnosed with multi-slice computed tomography is presented. Key words: Unroofed Coronary Sinus; Persistent Left Superior Vena Cava; Multi-Slice Computed Tomography.

Keywords:

Unroofed Coronary Sinus; Persistent Left Superior Vena Cava; Multi-Slice Computed Tomography.,

PDF

___

Cannavale G, Higgins CB, Ordovas KG. Unroofing the diagnosis. Int J Cardiovasc Imaging 2010; 26(8): 841-2.
Raghib G, Ruttenberg HD, Anderson RC, et al. Termination of left superior vena cava in left atrium, atrial septal defect, and absence of coronary sinus: a developmental complex. Circulation 1965; 31: 906-18.
Jian Z, Li J, Xiao Y. Rare association of tetralogy of Fallot with partially unroofed coronary sinus and PLSVC: case report. Thorac Cardiovasc Surg 2010; 58(2): 117-9.
Erickson LK, Puchalski MD, Pysher TJ. Pulmonary atresia with intact atrial and ventricular septums, unroofed coronary sinus, and absent aortocoronary arterial connections. Cardiol Young 2008; 18(5): 520-2.
Sato T, Suzuki K, Umemura J, Takahashi Y, Tomimoto K. Cor triatriatum with unroofed coronary sinus and persistent left superior vena cava associated with atrial tachycardia. Pediatr Cardiol 2003; 24(5): 520-3.
Ootaki Y, Yamaguchi M, Yoshimura N, Oka S, Yoshida M, Hasegawa T. Unroofed coronary sinus syndrome: diagnosis, classification, and surgical treatment. J Thorac Cardiovasc Surg 2003; 126: 1655-6.
Kuhn A, Hauser M, Eicken A, Vogt M. Right heart failure due to an unroofed coronary sinus in an adult. Int J Cardiol 2006; 113: 248-9.
Kim H, Choe YH, Park SW, et al. Partially unroofed coronary sinus: MDCT and MRI findings. AJR Am J Roentgenol. 2010; 195(5): W331-6.
Pedrazzini GB, D'angeli I, Vassalli G, et al. A. Assessment of coronary stenosis, plaque burden and remodeling by multidetector computed tomography in patients referred for suspected coronary artery disease.J Cardiovasc Med (Hagerstown) 2011; 12(2): 122-30.
Jeong HC, Ahn Y, Ko JS, et al. The role of 64-slice multi- detector computed tomography in the detection of subclinical atherosclerosis of the coronary artery. Int J Cardiovasc Imaging 2010; 26(Suppl 2): 253-9.
Brancaccio G, Miraldi F, Ventriglia F, Michielon G, Di Donato RM, Santis MD. Multidetector-row helical computed tomography imaging of unroofed coronary sinus. Int J Cardiol 2003; 91:251-3.