A 35-year-old woman presented with dyspnea on exertion. The diagnosis was unroofed coronary sinus with persistent left superior vena cava and atrial septal defect. She underwent total correction with the intracardiac baffle technique by using an interatrial flap and autologous pericardial patch. Her clinical course was uneventful and markedly improved after the surgery.
RaghibGRuttenbergHDAndersonRC,et al.Termination of left superior vena cava in left atrium, atrial septal defect, and absence of coronary sinus. A developmental complex. Cirulation1965; 31: 906–918.
2.
KirklinJWBarratt-BoyesBG. Cardiac surgery. New York: John Wiley & Sons, 1986.
3.
QuaegebeurJKirklinJWPacificoAD,et al.Surgical experience with unroofed coronary sinus. Ann Thorac Surg1979; 27: 418–425.
4.
CintezăEEFilipCDuicăG,et al.Unroofed coronary sinus: update on diagnosis and treatment. Rom J Morphol Embryol2019; 60: 33–40.
5.
Matos AJPPlankenRNBoumaBJ, et al.Unroofed coronary sinus newly diagnosed in adult patients after corrected congenital heart disease. Neth Heart J2014; 22: 240–245.
6.
XieMYangYChengTO, et al.Coronary sinus septal defect (unroofed coronary sinus): echocardiographic diagnosis and surgical treatment. Int J Cardiol2013; 168: 1258–1263.
7.
ShiHYanJWangQ,et al.Surgical management of unroofed coronary sinus syndrome: a 20-year-single-center experience. J Card Surg2021; 36: 589–595.