Wide unroofed coronary sinus and cryptogenic stroke: a case report.

ABSTRACT:

Background

Unroofed coronary sinus (UCS) is a rare congenital cardiac anomaly in which there is complete or partial absence of the roof of the coronary sinus (CS) resulting in a communication between the right and left atria. There are four types of UCS described in the literature. While usually asymptomatic and discovered incidentally on imaging, UCS can be the source of a brain abscess or paradoxical embolism.

Case summary

A 62-year-old gentleman presented to the emergency department with sudden onset of right-sided weakness and subsequent unresponsiveness. His brain computed tomography (CT) was consistent with left-sided stroke. Transthoracic echocardiography was remarkable for a dilated CS and an agitated saline study was suggestive of an UCS. A gated cardiac CT with cor

SUBMITTER: Babapoor-Farrokhran S 

PROVIDER: S-EPMC7891272 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature