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An exceptional anomaly of the coronary venous drainage: anatomic description

Published online by Cambridge University Press:  18 November 2024

Manon Hily Open the ORCID record for Manon Hily [Opens in a new window] ,
Bettina Bessières ,
Damien Bonnet  and
Lucile Houyel Open the ORCID record for Lucile Houyel [Opens in a new window]
Manon Hily*
Affiliation:
Congenital and Pediatric Cardiology Unit, M3C-Necker, APHP, Hôpital Necker-Enfants malades, Paris, France Université Paris Cité, Paris, France
Bettina Bessières
Affiliation:
Fetal Pathology Unit, APHP, Hôpital Necker-Enfants malades, Paris, France
Damien Bonnet
Affiliation:
Congenital and Pediatric Cardiology Unit, M3C-Necker, APHP, Hôpital Necker-Enfants malades, Paris, France Université Paris Cité, Paris, France
Lucile Houyel
Affiliation:
Congenital and Pediatric Cardiology Unit, M3C-Necker, APHP, Hôpital Necker-Enfants malades, Paris, France Université Paris Cité, Paris, France
*
Corresponding author: Manon Hily; Email: [email protected]
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Abstract

Background:

Anomalies of the coronary sinus are rare in the general population but are more frequent in patients with congenital heart defects. Whatever the cardiac anatomy, the coronary sinus is invariably located in the left atrioventricular sulcus, inferior to the wall of the morphologically left atrium.

Methods:

A complete morphological examination of a fetal cardiac specimen of the M3C collection, according to segmental analysis, was performed by two observers.

Results:

We report here for the first time a cardiac specimen with a venous channel receiving the majority of coronary veins, located in the right atrioventricular sulcus and therefore inferior to the wall of the morphologically right atrium, in a fetal cardiac specimen with congenitally corrected transposition in situs solitus. In addition, the anatomy of the venous drainage of the heart was mirror-imaged to that observed in a normal heart and different compared to that usually observed in congenitally corrected transposition.

Conclusion:

This very particular anatomy occurring in association with congenitally corrected transposition might be related with an additional disturbance in the laterality pathway.

Keywords

Congenitally corrected transposition of the great arteriescoronary sinus anomalycardiac morphology
Type
Original Article
Information
Cardiology in the Young , Volume 34 , Issue 10 , October 2024 , pp. 2100 - 2104
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Copyright
© The Author(s), 2024. Published by Cambridge University Press

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