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Coronary sinus stenosis: an underdiagnosed cause for paediatric exertional chest pain

Published online by Cambridge University Press:  05 May 2020

Saloni A. Hegde*
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, University of Toledo Medical Center, Toledo, OH, USA
Jeffrey Moore
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, University of Toledo Medical Center, Toledo, OH, USA
William A. Suarez
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, University of Toledo Medical Center, Toledo, OH, USA
*
Author for correspondence: Saloni A. Hegde, MDS, Division of Pediatric Cardiology, Department of Pediatrics, University of Toledo Medical Center, Toledo, OH, USA. Tel: +1 949 205 9345; Fax: +1 419 479 2617. E-mail: [email protected]

Abstract

Undiagnosed coronary sinus obstruction can be a source of paediatric exertional chest pain and death. We present a case series of three interesting children who developed only exertional angina from various degrees of coronary sinus stenosis or atresia. We discuss the diagnosis and management of each case and the potential pathophysiology involved with their symptoms.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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