Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-23T08:59:30.729Z Has data issue: false hasContentIssue false
  • English
  • Français

Percutaneous management of coronary sinus atrial septal defect: two cases representing the spectrum for device closure and a review of the literature

Published online by Cambridge University Press:  25 March 2014

Nefthi Sandeep  and
Michael C. Slack
Nefthi Sandeep*
Affiliation:
Division of Pediatric Cardiology, Children’s National Health System, Washington, District of Columbia, United States of America
Michael C. Slack
Affiliation:
Division of Pediatric Cardiology, Children’s National Health System, Washington, District of Columbia, United States of America
*
Correspondence to: N. Sandeep, Division of Cardiology, Children’s National Health System, 111 Michigan Avenue NW, WW3 #200, Washington, DC 20010, United States of America. Tel: +202 476 2020; Fax: +202 476 5700; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Coronary sinus atrial septal defects are the rarest defects of the atrial septum comprising <1% of the five different types of atrial septal defects. Despite the widespread adoption of percutaneous device closure of secundum atrial septal defects, the published experience with percutaneous device closure of coronary sinus atrial septal defects is limited to only a few isolated case reports because of uncertainty regarding safety and efficacy. Open-heart surgical repair remains the treatment of choice for coronary sinus atrial septal defects, although this may not be the only treatment option in selected cases. Herein we describe our own experience with two patients with different clinical presentations and our method of successful percutaneous coronary sinus atrial septal defect closure in each. We then present a review of the anatomic spectrum of coronary sinus atrial septal defects along with a review of contemporary surgical and percutaneous device treatment.

Keywords

coronary sinusatrial septal defectpercutaneous
Type
Review Articles
Information
Cardiology in the Young , Volume 24 , Issue 5 , October 2014 , pp. 797 - 806
Copyright
© Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Joffe, DC, Rivo, J, Oxorn, DC. Coronary sinus atrial septal defect. Anesth Analg 2008; 107: 1163–1165.Google Scholar
2. Di Bernardo, S, Fasnacht, M, Berger, F. Transcatheter closure of a coronary sinus defect with an Amplatzer Septal Occluder. Catheter Cardiovasc Interv 2003; 60: 287–290.CrossRefGoogle ScholarPubMed
3. Kijima, Y, Taniguchi, M, Akagi, T. Catheter closure of coronary sinus atrial septal defect using Amplatzer Septal Occluder. Cardiol Young 2012; 22: 223–226.CrossRefGoogle ScholarPubMed
4. Santoro, G, Gaio, G, Russo, MG. Transcatheter treatment of unroofed coronary sinus. Catheter Cardiovasc Interv 2013; 81: 849–852.Google Scholar
5. Torres, A, Gersony, WM, Hellenbrand, W. Closure of unroofed coronary sinus with a covered stent in a symptomatic infant. Catheter Cardiovasc Interv 2007; 70: 745–748.Google Scholar
6. Moss, AJ, Allen, HD. Moss and Adams’ heart disease in infants, children, and adolescents: including the fetus and young adult, 7th edn. Wolters Kluwer Health/Lippincott Williams & Wilkins, Philadelphia, 2008.Google Scholar
7. 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: 1655–1656.Google Scholar
8. Raghib, G, Ruttenberg, HD, Anderson, RC, Amplatz, K, Adams, P Jr, Edwards, JE. Termination of left superior vena cava in left atrium, atrial septal defect, and absence of coronary sinus; a developmental complex. Circulation 1965; 31: 906–918.Google Scholar
9. Attenhofer-Jost, CH, Connolly, HM, Danielson, GK, Dearani, JA, Warnes, CA, Jamil Tajik, A. Clinical features and surgical outcome in 25 patients with fenestrations of the coronary sinus. Cardiol Young 2007; 17: 592–600.Google Scholar
10. Akkaya, E, Vuruskan, E, Aksoy, I, Ardic, I, Kucukosmanoglu, M, Ozer, O. Intracardiac echocardiography-guided device closure of atrial septal defects: our initial experience [Intrakardiyak ekokardiyografi esliginde sekundum atriyal septal defekt kapatilmasi: Klinigimizin baslangic tecrubesi]. Turk Kardiyol Dern Ars 2011; 39: 474–478.CrossRefGoogle ScholarPubMed
11. El-Eshmawi, A, Tang, GH, Pawale, A, Anyanwu, AC, Adams, DH. Unroofed coronary sinus in an adult. J Card Surg 2013; 28: 19–22.CrossRefGoogle ScholarPubMed
12. Bartel, T, Muller, S. Contemporary echocardiographic guiding tools for device closure of interatrial communications. Cardiovasc Diagn Ther 2013; 3: 38–46.Google Scholar
13. Freedom, RM, Culham, JA, Rowe, RD. Left atrial to coronary sinus fenestration (partially unroofed coronary sinus). Morphological and angiocardiographic observations. Br Heart J 1981; 46: 63–68.CrossRefGoogle ScholarPubMed
14. Quaegebeur, J, Kirklin, JW, Pacifico, AD, Bargeron, LM Jr. Surgical experience with unroofed coronary sinus. Ann Thorac Surg 1979; 27: 418–425.Google Scholar
15. Moore, J, Hegde, S, El-Said, H, et al.. Transcatheter device closure of atrial septal defects: a safety review. JACC Cardiovasc Interv 2013; 6: 433–442.Google Scholar
16. Heng, JT, De Giovanni, JV. Occlusion of persistent left superior vena cava to unroofed coronary sinus using vena cava filter and coils. Heart 1997; 77: 579–580.Google Scholar
17. Geggel, RL, Perry, SB, Blume, ED, Baker, CM. Left superior vena cava connection to unroofed coronary sinus associated with positional cyanosis: successful transcatheter treatment using Gianturco-Grifka vascular occlusion device. Catheter Cardiovasc Interv 1999; 48: 369–373.3.0.CO;2-1>CrossRefGoogle ScholarPubMed
18. Soo, AW, Healy, DG, Walsh, K, Wood, F. Inferior vena cava and coronary sinus obstruction after percutaneous atrial septal defect device closure requiring surgical revision. J Thorac Cardiovasc Surg 2006; 131: 1405–1406.Google Scholar
19. Carlson, KM, Johnston, TA, Jones, TK, Grifka, RG. Amplatzer septal occluder closure of secundum atrial septal defects in the presence of persistent left superior vena cava to coronary sinus. Pediatr Cardiol 2004; 25: 686–689.CrossRefGoogle ScholarPubMed