A case of coronary sinus ostium atresia misdiagnosed as patent foramen ovale

Fuente: Wiley Open Access
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Autores principales: Fangzhou Li, Xiaoqiang Li
Formato: Artículo Open Access
Publicado: Wiley 2024
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author Fangzhou Li
Xiaoqiang Li
author_facet Fangzhou Li
Xiaoqiang Li
Fangzhou Li
Xiaoqiang Li
collection Wiley Open Access
contents A case of coronary sinus ostium atresia misdiagnosed as patent foramen ovale Fangzhou Li Xiaoqiang Li Echocardiography AbstractA 15‐year‐old male patient presented with a 3‐year history of recurrent dizziness and headaches and was initially diagnosed with patent foramen ovale. A transcatheter closure procedure was planned and conducted under general anesthesia, utilizing ultrasound guidance through the femoral vein. Preadmission echocardiography confirmed the presence of a patent foramen ovale. However, further investigation with transesophageal echocardiography (TEE) performed under general anesthesia, revealed that the observed atrial septal anomaly was not a patent foramen ovale. Instead, real‐time TEE identified it as the left atrial opening of the coronary vein. Subsequent detailed TEE tracking confirmed a rare case of coronary sinus ostium atresia with left atrial reflux of the coronary vein, leading to a significant revision of the initial diagnosis and planned treatment. 10.1111/echo.15866 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1111/echo.15866
format Artículo Open Access
id wiley_oa_10_1111_echo_15866
institution Wiley Open Access
license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
publishDate 2024
publisher Wiley
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spellingShingle A case of coronary sinus ostium atresia misdiagnosed as patent foramen ovale
Fangzhou Li
Xiaoqiang Li
Echocardiography
A case of coronary sinus ostium atresia misdiagnosed as patent foramen ovale Fangzhou Li Xiaoqiang Li Echocardiography AbstractA 15‐year‐old male patient presented with a 3‐year history of recurrent dizziness and headaches and was initially diagnosed with patent foramen ovale. A transcatheter closure procedure was planned and conducted under general anesthesia, utilizing ultrasound guidance through the femoral vein. Preadmission echocardiography confirmed the presence of a patent foramen ovale. However, further investigation with transesophageal echocardiography (TEE) performed under general anesthesia, revealed that the observed atrial septal anomaly was not a patent foramen ovale. Instead, real‐time TEE identified it as the left atrial opening of the coronary vein. Subsequent detailed TEE tracking confirmed a rare case of coronary sinus ostium atresia with left atrial reflux of the coronary vein, leading to a significant revision of the initial diagnosis and planned treatment. 10.1111/echo.15866 http://onlinelibrary.wiley.com/termsAndConditions#vor
title A case of coronary sinus ostium atresia misdiagnosed as patent foramen ovale
topic Echocardiography
url https://onlinelibrary.wiley.com/doi/10.1111/echo.15866