Egoh Y, Isomatsu Y, Kurosawa H, Kawana M, Iwasaki T, Takahashi S
Nihon Kyobu Geka Gakkai Zasshi. 1989 Apr;37(4):755-9.
A case of successfully treated unroofed coronary sinus associated with mitral and tricuspid valve regurgitation was reported. A 68 year-old male presented with congestive cardiac failure and pancytopenia due to hypersplenism. Investigation by cardiac catheterization and left ventricular angiography showed unroofed coronary sinus (left atrial to coronary sinus fenestration) combined with mitral and tricuspid valve regurgitation without persistent left superior vena cava. The atrial septum was intact. A large left-to-right shunt resulted in right heart failure. Direct suture closure of a coronary sinus defect and double valve replacements by using the SJM prosthetic valves were performed successfully.
报道了一例成功治疗的无顶冠状静脉窦合并二尖瓣和三尖瓣反流的病例。一名68岁男性因脾功能亢进出现充血性心力衰竭和全血细胞减少。经心导管检查和左心室造影发现无顶冠状静脉窦（左心房至冠状静脉窦开窗）合并二尖瓣和三尖瓣反流，无永存左上腔静脉。房间隔完整。大量左向右分流导致右心衰竭。成功地对冠状静脉窦缺损进行了直接缝合关闭，并使用SJM人工瓣膜进行了双瓣膜置换。
