Journal article

Atresia of the coronary sinus in patients with supraventricular tachycardia

A Luik, I Deisenhofer, H Estner, G Ndrepepa, A Pflaumer, B Zrenner, C Schmitt

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | WILEY | Published : 2006

Abstract

BACKGROUND: Atresia of the coronary sinus (CS) ostium with retrograde drainage of the cardiac veins via the persistent left superior vena cava (PLSVC) is a rare abnormality and only a few case reports in association with electrophysiological studies have been reported. METHODS: During standard electrophysiological study in three patients with a focal left atrial tachycardia, atrial fibrillation and common type right atrial flutter, the CS could not be cannulated despite several attempts. Assuming an occluded CS ostium we advanced a multipurpose catheter via the right atrium and the right superior vena cava in a PLSVC and performed CS angiography. RESULTS: CS angiography showed that the CS wa..

View full abstract