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Unroofed Coronary Sinus (Isolated Finding)

Unroofed Coronary Sinus (Isolated Finding)▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

The right ventricle and right atrium are normal in size and function, suggesting no large shunt. There is an unroofed coronary sinus, with a portion open to the left atrium while still communicating with the right atrium. No left superior vena cava (SVC) is present.

Key takeaways

This represents another variant of an unroofed coronary sinus. Unlike cases with a left SVC, this was an isolated finding with no significant shunt, thus no immediate impact on right heart size or function. Management for such isolated findings can be a point of clinical debate.

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