1. A case of coronary sinus ostium atresia misdiagnosed as patent foramen ovale.
- Author
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Li F and Li X
- Subjects
- Humans, Male, Adolescent, Diagnosis, Differential, Echocardiography, Transesophageal methods, Coronary Vessel Anomalies diagnosis, Coronary Vessel Anomalies diagnostic imaging, Foramen Ovale, Patent diagnostic imaging, Foramen Ovale, Patent complications, Foramen Ovale, Patent diagnosis, Diagnostic Errors, Coronary Sinus abnormalities, Coronary Sinus diagnostic imaging
- Abstract
A 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., (© 2024 Wiley Periodicals LLC.)
- Published
- 2024
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