Hostname: page-component-848d4c4894-wzw2p Total loading time: 0 Render date: 2024-04-30T18:12:14.459Z Has data issue: false hasContentIssue false
  • English
  • Français

An unusual cause of cyanosis after the modified Fontan procedure—closure of venous communications between the coronary sinus and left atrium by transcatheter techniques

Published online by Cambridge University Press:  19 August 2008

Alison M. Hayes ,
Patricia E. Burrows  and
Lee N. Benson
Alison M. Hayes*
Affiliation:
From the Department of Cardiology, The Hospital for Sick Children, Toronto
Patricia E. Burrows
Affiliation:
From the Department of Cardiology, The Hospital for Sick Children, Toronto
Lee N. Benson
Affiliation:
From the Department of Cardiology, The Hospital for Sick Children, Toronto
*
Dr. Alison M. Hayes, Department of Cardiology, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada. Tel. (416) 813 6223; Fax. (416) 813 7547.
Get access Rights & Permissions [Opens in a new window]

Summary

Communication of the coronary sinus with the left atrium is an unusual anomaly. Two cases of tricuspid atresia are described where systemic desaturation developed following a modified Fontan procedure. In both, investigation demonstrated a communication between the coronary sinus and the left atrium. Transcatheter closure of these communications was achieved with a ductal device in one case and coil embolization in the other. Following occlusion and elimination of the right-to-left shunt, both patients became fully saturated in room air.

Keywords

Interventional cardiac catheterizationFontanatrial communication
Type
Brief Reports
Information
Cardiology in the Young , Volume 4 , Issue 2 , April 1994 , pp. 172 - 174
Copyright
Copyright © Cambridge University Press 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Fontan, F, Deville, C, Quaegebeur, J, Ottenkamp, J, Sourdille, N, Choussat, A, Brom, GA. Repair of tricuspid atresia in 100 patients. J Thorac Cardiovasc Surg 1983; 85: 647–660.CrossRefGoogle ScholarPubMed
2.Driscoll, DJ, Offord, KP, Feldt, RH, Schaff, HV, Puga, FJ, Danielson, GK. Five to fifteen-year follow-up after Fontan operation. Circulation 1992; 85: 469–496.CrossRefGoogle ScholarPubMed
3.Rose, AG, Beckman, CB, Edwards, JE. Communication between the coronary sinus and left atrium. Br Heart J 1974; 36: 182–185.CrossRefGoogle ScholarPubMed
4.Freedom, RM, Culham, JAG, Rowe, RD. Left atrial to coronary sinus fenestration (partially unroofed coronary sinus). Br Heart J 1981; 46: 63–68.CrossRefGoogle ScholarPubMed
5.Rumisek, JD, Pigott, JD, Weinberg, PM, Norwood, WI. Coronary sinus septal defect associated with tricuspid atresia. J Thorac Cardiovasc Surg 1986; 92: 142–145.CrossRefGoogle ScholarPubMed
6.Westerman, GR, Readinger, RI, Van Devanter, SH. Unusual interatrial communication after the Fontan procedure. J Thorac Cardiovasc Surg 1985; 90: 627–630.CrossRefGoogle ScholarPubMed
7.Bridges, ND, Lock, JE, Castañeda, AR. Baffle fenestration with subsequent transcatheter closure. Modification of the Fontan operation for patients at increased risk. Circulation 1990; 82: 1681–1689.CrossRefGoogle ScholarPubMed
8.Lock, JE, Cockerham, JT, Keane, JF, Finley, JP, Wakely, PE, Fellows, KE. Transcatheter umbrella closure of congenital heart defects. Circulation 1987; 75: 593–599.CrossRefGoogle ScholarPubMed