Ding Xuejiao, Liao Zhimin, Tao Yichao, Wu Xiaofeng
Department of Ultrasound Imaging, Xiaogan Hospital Affiliated to Wuhan University of Science and Technology, Xiaogan Central Hospital Xiaogan China.
Department of Cardiothoracic Surgery Xiaogan Hospital Affiliated to Wuhan University of Science and Technology, Xiaogan Central Hospital Xiaogan China.
Clin Case Rep. 2023 Sep 28;11(10):e7990. doi: 10.1002/ccr3.7990. eCollection 2023 Oct.
Unroofed coronary sinus syndrome (URCS), also known as coronary sinus septal defect, is a rare congenital heart disease. Because of its special anatomy and the lack of typical clinical symptoms, the disease is easily missed and misdiagnosed. This case report particularly describes a middle-aged male patient with URCS misdiagnosed for more than 19 years, covered by hyperthyroid heart disease, who subsequently developed uncontrollable symptoms such as chest tightness and shortness of breath and came to our hospital. After a clear diagnosis in our hospital, the patient was successfully cured after treatment with coronary sinus repair and tricuspid valvuloplasty under extracorporeal circulation.
无顶冠状静脉窦综合征（URCS），又称冠状静脉窦间隔缺损，是一种罕见的先天性心脏病。由于其特殊的解剖结构及缺乏典型临床症状，该病易被漏诊和误诊。本病例报告详细描述了一名中年男性患者，患有URCS却被误诊为甲亢性心脏病长达19年以上，随后出现胸闷、气短等无法控制的症状，遂来我院就诊。在我院明确诊断后，患者在体外循环下行冠状静脉窦修复及三尖瓣成形术，术后成功治愈。
