Late Outcome of a Left-Atrial-to-Coronary-Sinus Shunt

Mario D Bassi; Kenza Rahmouni; Alexandros Nantsios; David Messika-Zeitoun; Benjamin Hibbert; Talal Al-Atassi; Vincent Chan

doi:10.1016/j.jaccas.2023.102039

Late Outcome of a Left-Atrial-to-Coronary-Sinus Shunt

JACC Case Rep. 2023 Oct 6:26:102039. doi: 10.1016/j.jaccas.2023.102039. eCollection 2023 Nov 15.

Authors

Mario D Bassi¹, Kenza Rahmouni², Alexandros Nantsios², David Messika-Zeitoun³, Benjamin Hibbert³, Talal Al-Atassi², Vincent Chan²

Affiliations

¹ Department of Medicine, Kingston Health Science Centre, Queen's University, Kingston, Ontario, Canada.
² Department of Cardiac Surgery, University of Ottawa Heart Institute, University of Ottawa, Ontario, Canada.
³ Department of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.

Abstract

Frail patients with severe calcific mitral stenosis have few treatment options. We present a novel case successfully treated with a left-atrial-to-coronary-sinus shunt. However, the patient's symptoms returned, and, at surgery, the shunt was found to be occluded and associated with left atrial and ventricular fibrosis and calcification. (Level of Difficulty: Intermediate.).

Keywords: coronary sinus shunt; heart failure; mitral annulus calcification; mitral regurgitation; mitral stenosis; valve fibrosis.

Publication types

Case Reports