Utility of three-dimensional transesophageal echocardiography for diagnosis of unroofed coronary sinus

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• 作者：Mina Kawamukai ; Atsuko Muranaka ; Satoshi Yuda…
• 关键词：Unroofed coronary sinus ; Adult congenital heart disease ; Two ; dimensional transesophageal echocardiography ; Three ; dimensional transesophageal echocardiography
• 刊名：Journal of Medical Ultrasonics
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：43
• 期：1
• 页码：91-94
• 全文大小：690 KB
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• 作者单位：Mina Kawamukai (1)
  Atsuko Muranaka (1)
  Satoshi Yuda (1) (2)
  Yasumi Sato (5)
  Nobuko Makiguchi (6)
  Kazutoshi Tachibana (3)
  Kinya Hatakeyama (4)
  Nobuyuki Takagi (3)
  Tetsuya Higami (3)
  Tetsuji Miura (1)
  
  1. Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo, 060-0061, Japan
  2. Laboratory Medicine, Department of Infection Control and Clinical, Sapporo Medical University School of Medicine, Sapporo, Japan
  5. Division of Laboratory Diagnosis, Sapporo Medical University Hospital, Sapporo, Japan
  6. Department of Cardiology, Hokushinkai Megumino Hospital, Eniwa, Japan
  3. Department of Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan
  4. Department of Pediatrics, Sapporo Medical University School of Medicine, Sapporo, Japan
  
• 刊物主题：Ultrasound; Imaging / Radiology;
• 出版者：Springer Japan
• ISSN：1613-2254

文摘

We report a case of unroofed coronary sinus (URCS) in a 42-year-old female. At an outpatient clinic, she was found to have an atrioventricular septal defect and mitral regurgitation with pulmonary hypertension, and she was transferred to our institute for surgical treatment. Both atrioventricular valves were located at the same level, and both the right atrium (RA) and right ventricle were enlarged on two-dimensional transthoracic echocardiography. Color Doppler imaging demonstrated severe mitral and tricuspid regurgitation and a left-to-right shunt from the left atrium (LA) to the RA. Although an ostium primum defect of the atrial septum was suspected, the exact position of the shunt flow was unclear. Two-dimensional transesophageal echocardiography (2D-TEE) could visualize a direct communication between the LA and coronary sinus. Three-dimensional transesophageal echocardiography (3D-TEE) clearly visualized the entire route from the coronary sinus into the LA and RA. The utility of 3D-TEE as a modality complementary to 2D-TEE in diagnosis of URCS was confirmed. Keywords Unroofed coronary sinus Adult congenital heart disease Two-dimensional transesophageal echocardiography Three-dimensional transesophageal echocardiography