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Coronary sinus stenosis: an underdiagnosed cause for paediatric exertional chest pain

Published online by Cambridge University Press:  05 May 2020

Saloni A. Hegde Open the ORCID record for Saloni A. Hegde [Opens in a new window] ,
Jeffrey Moore  and
William A. Suarez
Saloni A. Hegde*
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, University of Toledo Medical Center, Toledo, OH, USA
Jeffrey Moore
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, University of Toledo Medical Center, Toledo, OH, USA
William A. Suarez
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, University of Toledo Medical Center, Toledo, OH, USA
*
Author for correspondence: Saloni A. Hegde, MDS, Division of Pediatric Cardiology, Department of Pediatrics, University of Toledo Medical Center, Toledo, OH, USA. Tel: +1 949 205 9345; Fax: +1 419 479 2617. E-mail: Saloni.hegde@utoledo.edu
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Abstract

Undiagnosed coronary sinus obstruction can be a source of paediatric exertional chest pain and death. We present a case series of three interesting children who developed only exertional angina from various degrees of coronary sinus stenosis or atresia. We discuss the diagnosis and management of each case and the potential pathophysiology involved with their symptoms.

Keywords

Coronary sinus stenosispaediatric chest painangiography
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 6 , June 2020 , pp. 873 - 876
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Hiroshima, KI, Goya, M, Nagashima, M, et al.Ostial atresia of the coronary sinus in patients with supraventricular arrhythmias. J Arrhythm 2019; 35: 554–557. Published 2019 May 16. doi: 10.1002/joa3.12189.CrossRefGoogle ScholarPubMed
Shah, SS, Teague, SD, Lu, JC, et al.Imaging of the coronary sinus: normal anatomy and congenital abnormalities. RadioGraphics 2012; 32: 991–1008. doi: 10.1148/rg.324105220.CrossRefGoogle ScholarPubMed
Mantini, E, Grodin, CM, Lillehei, CW, Edwards, JE.Congenital anomalies involving the coronary sinus. Circulation 1966; 33: 317–327. doi: 10.1161/01.cir.33.2.317.CrossRefGoogle ScholarPubMed
Adatia, I, Gittenberger, AC.Unroofed coronary sinus and coronary sinus orifice atresia. J Am Coll Cardiol 1995; 25: 948–953. doi: 10.1016/0735-1097(94)00475-6.CrossRefGoogle ScholarPubMed
Song, G, Qiao, W, Ren, W, Chen, Y, Zhou, K.Congenital coronary sinus stenosis. Echocardiography 2016; 34: 131–135. doi: 10.1111/echo.13411.CrossRefGoogle ScholarPubMed
Hidestrand, PM, Kirkpatrick, EC, Mitchell, ME, et al.An unusual case of severe stenosis of the coronary sinus ostium in association with double inlet left ventricle. World J Pediatr Congenit Heart Surg 2014; 5: 473–474. doi:10.1177/2150135114525646.CrossRefGoogle ScholarPubMed
Chou, MC, Wu, MT, Chen, CH, Lee, MH, Tzeng, WS.Multidetector CT findings of a congenital coronary sinus anomaly: a report of two cases. Korean J Radiol 2008; 9. doi: 10.3348/kjr.2008.9.s.s1.CrossRefGoogle ScholarPubMed
Suarez, W, Sundararaghavan, S, Bove, E.Childhood angina due to congenital atresia of the coronary sinus. Cardiol Young 2004; 14: 200–202. doi: 10.1017/s104795110400215x.CrossRefGoogle ScholarPubMed