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Eur J Cardiothorac Surg 2008;33:939-941. doi:10.1016/j.ejcts.2008.01.048
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.

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Yukihiro Kaneko
Jotaro Kobayashi
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Case reports

Light-guided surgery to repair coronary sinus orifice atresia with left superior vena cava

Yukihiro Kaneko*, Jotaro Kobayashi, Yusuke Yamamoto, Keiji Tsuchiya

Departments of Cardiovascular Surgery and Pediatrics, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo 150-8935, Japan

Received 5 November 2007; received in revised form 15 January 2008; accepted 30 January 2008.

* Corresponding author. Address: Department of Cardiovascular Surgery, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo 150-8935, Japan. Tel.: +81 3 3400 1311; fax: +81 3 3409 1604. (Email: yukihirokaneko{at}hotmail.com).

An 8-month-old male with coronary sinus orifice atresia, left superior vena cava, and single ventricle underwent light-guided coronary sinus unroofing concomitant with bidirectional cavopulmonary anastomosis to circumvent coronary sinus hypertension. During surgery, a 2.25 Fr angioscopic catheter was inserted into the coronary sinus via the left superior vena cava. The coronary sinus, lit by the illumination obtained from the catheter, was readily located from the left atrial interior, and unroofed. Light-guided coronary sinus unroofing is an easy, safe, and quick technique for the creation of unobstructed coronary sinus drainage in patients with coronary sinus orifice atresia and left superior vena cava.

Key Words: Coronary sinus • Congenital heart defects • Cardiac surgery • Light-guided surgery







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Copyright © 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.