Pediatric Cardiology

, Volume 38, Issue 5, pp 1084–1086 | Cite as

Coronary Sinus Defect Following Transcatheter Closure of ASD Using Amplatzer Septal Occluder: Potential Erosion by the Device

  • Bassel Mohammad Nijres
  • Maytham AL-Kubaisi
  • John Bokowski
  • Ra-id Abdulla
  • Sawsan Awad
Case Report


We present a case of small coronary sinus defect detected after transcatheter device closure of a large secundum atrial septal defect. Although device erosion of the dilated coronary sinus is suspected, the defect in the coronary sinus may have been present prior to ASD device closure. Dilated coronary sinus may be a risk factor when closing a secundum ASD with a device. To the best of our knowledge, coronary sinus erosion by an ASD device has not yet been reported in the medical literature.


Coronary sinus Unroofed coronary sinus Atrial septal defect Amplatzer Septal Occluder 



Coronary sinus


Unroofed coronary sinus


Left superior vena cava


Atrial septal defect


Amplatzer Septal Occluder


Left atrium



There is no funding associated with this report.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest related to this report.

Ethical approval

As this is a case report, this article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained prior to all clinical procedures in accordance with standard clinical practice in our institute.

Supplementary material

246_2017_1613_MOESM1_ESM.mp4 (686 kb)
Supplementary material 1 (MP4 686 kb) Movie clip 1: Zoomed 3-Chamber view trans-thoracic echocardiography clip showing small shunt jet from left atrium (LA) to the dilated coronary sinus (CS). This video clip is equivalent to figure 1
246_2017_1613_MOESM2_ESM.mp4 (472 kb)
Supplementary material 2 (MP4 471 kb) Movie clip 2: 4-Chamber view trans-thoracic echocardiography clip showing dilated coronary sinus with close proximity to the LA device disc with tenting at the level of the defect
246_2017_1613_MOESM3_ESM.mp4 (414 kb)
Supplementary material 3 (MP4 413 kb) Movie clip 3: Parasternal long axis trans-thoracic echocardiography clip showing ASO device in contact with the dilated coronary sinus with each atrial contraction with exclusively small left atrium to coronary sinus shunt


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Rush Center for Congenital Heart DiseaseRush University Children’s HospitalChicagoUSA

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