Author/Authors :
Kim، Hye Rin نويسنده Department of Diagnostic Radiology, CHA University,
College of Medicine, Bundang, South Korea , , Yoo، Seung Min نويسنده Department of Diagnostic Radiology, CHA University,
College of Medicine, Bundang, South Korea , , Lee، Hwa Yeon نويسنده Smile Radiologic Clinic, Seoul, South Korea , , Rho، Ji Young نويسنده Department of Diagnostic Radiology, CHA University,
College of Medicine, Bundang, South Korea , , Yang، Woo In نويسنده Department of Diagnostic Cardiology, CHA University,
College of Medicine, Bundang, South Korea , , Moon، Jae Youn نويسنده Department of Diagnostic Cardiology, CHA University,
College of Medicine, Bundang, South Korea , , White، Charles S نويسنده Department of Diagnostic Radiology, University of Maryland
Medical Center, Baltimore, USA ,
Abstract :
We describe a patient with an asymptomatic complete unroofed
coronary sinus (CS) syndrome associated with the CS stenosis in the
absence of a persistent left superior vena cava (SVC) as identified on
coronary computed tomography angiography. There was a large defect
between the CS and the left atrium (i.e. a large left-to-right shunt),
but an unusual combination of the absence of a persistent left SVC (i.e.
no risk for brain abscess due to the absence of a right-to-left shunt)
and the CS stenosis (i.e. a markedly reduced degree of a left-to-right
shunt), resulting in an asymptomatic presentation.