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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.
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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

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References

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