Paediatric Cardiology, A.O.R.N. Ospedale dei Colli, II University of Naples, Naples, Italy.
Catheter Cardiovasc Interv. 2013 Apr;81(5):849-52. doi: 10.1002/ccd.24519. Epub 2012 Sep 7.
Unroofed coronary sinus (coronary sinus-type atrial septal defect) is a rare congenital anomaly resulting from imperfect development of left atrio-venous fold. This malformation is not considered suitable for percutaneous treatment due to complex anatomy and risk of coronary sinus obstruction. This article reports on the first successful treatment of partially unroofed coronary sinus by implantation of an Amplatzer(®) Septal Occluder device (AGA Medical Co., Golden Valley, MN). In this patient, the malformation was deemed favorable for device closure due to the local anatomy and the association with persistent left superior vena cava draining in coronary sinus.
心外膜冠状窦（冠状窦型房间隔缺损）是一种罕见的先天性异常，源于左心耳静脉褶发育不全。由于解剖结构复杂且存在冠状窦阻塞风险，这种畸形不适合经皮治疗。本文报道了首例使用 Amplatzer（®）房间隔封堵器（AGA Medical Co.，明尼苏达州 Golden Valley）成功治疗部分心外膜冠状窦的病例。该患者由于局部解剖结构和永存左上腔静脉汇入冠状窦，畸形适合采用封堵器治疗。
