| Partially unroofed coronary sinus: MDCT and MRI findings. | |
| | |
MedLine Citation:
|
PMID: 20966297 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: The purpose of this study was to analyze the MDCT and MRI findings in patients with unroofed coronary sinus syndrome. MATERIALS AND METHODS: This retrospective study included 11 patients with unroofed coronary sinus syndrome (10 adults, one child) without persistent left superior vena cava and one adult with communication of the left atrium and coronary sinus via an anomalous vein (unroofed coronary sinus variant). Four patients underwent contrast-enhanced ECG-gated MDCT; six, MRI; and two patients, both CT and MRI. We also measured the coronary sinus on the CT scans of 28 adults with normal cardiac anatomy and 10 adults with persistent left superior vena cava and compared the measurements with those in the patients with unroofed coronary sinus syndrome. Seven patients underwent surgical treatment of unroofed coronary sinus syndrome. RESULTS: At echocardiography, unroofed coronary sinus syndrome was not clearly discriminated from atrial septal defect in two patients and was not suspected in three patients. CT and MRI showed that 11 patients had a defect in which the coronary sinus communicated with the left atrium and that the other patient had atresia of the coronary sinus orifice with an anomalous vein connecting the coronary sinus and left atrium. In patients with unroofed coronary sinus syndrome, the mean standardized diameter of the coronary sinus according to the patient's body surface area was 15 ± 4 mm/m², similar to that of the control group with persistent left superior vena cava (15 ± 6 mm/m²; p = 0.97) and significantly greater than that of the group with normal cardiac anatomy (7 ± 2 mm/m²; p < 0.0001). CONCLUSION: CT and MRI facilitate definite diagnosis of unroofed coronary sinus syndrome. |
| | |
Authors:
|
Hyojin Kim; Yeon Hyeon Choe; Seung Woo Park; Tae Gook Jun; I-Seok Kang; Ji-Hyuk Yang; Hong Eo; Heung Jae Lee |
Related Documents
:
|
7020727 - Hexabrix--a new contrast medium in angiocardiography. 9646817 - Hepatic infarction secondary to arterial insufficiency in native livers: ct findings in... 10636267 - Morphology of vulnerable coronary plaque: insights from follow-up of patients examined ... 3882267 - Digital subtraction fluoroscopy: a new method of detecting coronary calcifications with... 20191107 - Gene and cell therapy for life-threatening cardiac arrhythmias. 2060347 - Exercise testing and left main coronary artery stenosis. can patients with left main di... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: AJR. American journal of roentgenology Volume: 195 ISSN: 1546-3141 ISO Abbreviation: AJR Am J Roentgenol Publication Date: 2010 Nov |
Date Detail:
|
Created Date: 2010-10-22 Completed Date: 2010-12-02 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7708173 Medline TA: AJR Am J Roentgenol Country: United States |
Other Details:
|
Languages: eng Pagination: W331-6 Citation Subset: AIM; IM |
Affiliation:
|
Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aged, 80 and over Child Contrast Media / diagnostic use Coronary Sinus / abnormalities*, pathology, radiography, surgery Coronary Vessel Anomalies / diagnosis*, radiography, surgery Echocardiography, Doppler Female Humans Iopamidol / diagnostic use Magnetic Resonance Imaging / methods* Male Middle Aged Retrospective Studies Syndrome Tomography, X-Ray Computed / methods* Treatment Outcome Vena Cava, Superior / abnormalities, pathology, radiography, surgery |
| Chemical | |
Reg. No./Substance:
|
0/Contrast Media; 62883-00-5/Iopamidol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Focal iodine defects on color-coded iodine perfusion maps of dual-energy pulmonary CT angiography im...
Next Document: Positive predictive value of CT urography in the evaluation of upper tract urothelial cancer.