The International Journal of Cardiovascular Imaging

, Volume 26, Issue 8, pp 841–842

Unroofing the diagnosis

  • Giuseppe Cannavale
  • Charles B. Higgins
  • Karen G. Ordovas
Case-in-Point

DOI: 10.1007/s10554-010-9667-3

Cite this article as:
Cannavale, G., Higgins, C.B. & Ordovas, K.G. Int J Cardiovasc Imaging (2010) 26: 841. doi:10.1007/s10554-010-9667-3

Abstract

Unroofed coronary sinus is a rare congenital cardiac anomaly in which a communication occurs between the coronary sinus and the left atrium due to the partial or complete absence of roof of the coronary sinus. Its diagnosis is important to prevent pulmonary hypertension and brain abscess or cerebral emboli. We report a case of a symptomatic 35-year-old man in which no atrial septal defects were visualized by transesophageal echocardiography but MRI permitted the diagnosis of this rare cardiac anomaly and assessment of shunt severity.

Keywords

Unroofed coronary sinusAtrial septal defectLeft-to-right shuntCardiac MR

Copyright information

© Springer Science+Business Media, B.V. 2010

Authors and Affiliations

  • Giuseppe Cannavale
    • 1
  • Charles B. Higgins
    • 2
  • Karen G. Ordovas
    • 2
  1. 1.Department of Radiological Sciences“Sapienza” University of RomeRomeItaly
  2. 2.Department of Radiology and Biomedical ImagingUniversity of CaliforniaSan FranciscoUSA