Cyanosis after surgical closure of ventricular and/or atrial septal defect is very unusual. We report a case of unroofed coronary sinus in a six-month-old boy who developed cyanosis after surgical closure of ventricular and atrial septal defects. Clinical presentation, diagnosis, and management are discussed.
RaghibGRuttenbergHDAndersonRCAmplatzKAdamsPJrEdwardJE. Termination of left superior vena cava in left atrium, atrial septal defect and absence of the coronary sinus. A developmental complex. Circulation. 1965;31(6):906–918.
2.
MantiniEGrondinGMLilliheiCWEdwardJE. Congenital anomalies involving the coronary sinus. Circulation. 1966;33(2):317–327.
3.
SchmidtKGSilvermanNH. Cross-sectional and contrast echocardiography in the diagnosis of interatrial communications through the coronary sinus. Int J Cardiol. 1987;16(2):193–199.
4.
KirklinJWBarratt BoyesBG. Unroofed coronary sinus syndrome. In: KirklinJWBarratt-BoyesBG eds. Cardiac Surgery. New York, NY: John Wiley and Sons; 1986:533–540.
