Venous myocardial infarction in an infant: With obstructed totally anomalous pulmonary venous drainage and coronary sinus ostial atresia

Deepa Prasad, James P. Strainic, Khyati Pandya, Peter C. Kouretas, Ravi C. Ashwath

Research output: Contribution to journalArticle

Abstract

We report a rare causal association between obstructed supracardiac totally anomalous pulmonary venous drainage and coronary sinus ostial atresia. Our 12-week-old patient developed venous myocardial infarction secondary to coronary venous hypertension because her sole route of coronary venous drainage was obstructed. She recovered after the obstruction was relieved by balloon dilation. Surgical repair then included anastomosis of the pulmonary venous confluence to the left atrium, ligation of the vertical vein, and unroofing of the coronary sinus. Coronary sinus ostial atresia is rarely diagnosed before autopsy.

Original languageEnglish (US)
Pages (from-to)430-432
Number of pages3
JournalTexas Heart Institute Journal
Volume43
Issue number5
DOIs
StatePublished - Oct 2016
Externally publishedYes

Keywords

  • Congenital/pathology/surgery
  • Coronary vessel anomalies/diagnosis/radiography/surgery
  • Female
  • Heart defects
  • Infant
  • Infarct
  • Pulmonary veins/ abnormalities/physiopathology
  • Superior/ abnormalities/radiography/ surgery
  • Vena cava
  • Venous

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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