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在一名成年患者中，经导管使用覆膜支架封闭无顶冠状静脉窦，该患者在瓣环上三尖瓣置换术后冠状静脉窦向右心室引流。

Transcatheter closure of unroofed coronary sinus using covered stents in an adult with drainage of the coronary sinus to the right ventricle after supra-annular tricuspid valve replacement.

作者信息

Mohammad Nijres Bassel, Kenny Damien, Kazmouz Suhaib, Hijazi Ziyad M

机构信息

Rush Center for Congenital and Structural Heart Disease, Rush University Children's Hospital, Chicago, Illinois.

Department of Cardiology and Cardiac Surgery, Our Lady's Children's Hospital, Dublin, Ireland.

出版信息

Catheter Cardiovasc Interv. 2017 Dec 1;90(7):1154-1157. doi: 10.1002/ccd.26996. Epub 2017 Mar 15.

DOI:10.1002/ccd.26996
PMID:28296217
Abstract

We present a rare case of unroofed coronary sinus in a patient who underwent supra-annular tricuspid valve replacement with consequent drainage of the coronary sinus to the right ventricle. It is unclear whether the coronary sinus was unroofed congenitally or iatrogenically. This rare setup resulted in significant cyanosis. The abnormal drainage was successfully closed via trans-catheter delivery of covered stents with resolution of the cyanosis. © 2017 Wiley Periodicals, Inc.

摘要

我们报告了一例罕见的无顶冠状静脉窦病例，该患者接受了瓣环上三尖瓣置换术，导致冠状静脉窦向右心室引流。目前尚不清楚冠状静脉窦无顶是先天性还是医源性的。这种罕见的情况导致了严重的发绀。通过经导管输送覆膜支架成功封闭了异常引流，发绀症状得以缓解。© 2017威利期刊公司。

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