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Unroofed coronary sinus in a patient with neurofibromatosis type 1

OBJECTIVE: To report the uncommon association between neurofibromatosis type 1 (NF1) and unroofed coronary sinus. CASE DESCRIPTION: Girl with four years and six months old who was hospitalized for heart surgery. The cardiac problem was discovered at four months of life. On physical examination, the...

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Autores principales: Bender, Luciano Pereira, Meyer, Maria Rita F., Rosa, Rafael Fabiano M., Rosa, Rosana Cardoso M., Trevisan, Patrícia, Zen, Paulo Ricardo G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade de Pediatria de São Paulo 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4183039/
https://www.ncbi.nlm.nih.gov/pubmed/24473962
http://dx.doi.org/10.1590/S0103-05822013000400019
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author Bender, Luciano Pereira
Meyer, Maria Rita F.
Rosa, Rafael Fabiano M.
Rosa, Rosana Cardoso M.
Trevisan, Patrícia
Zen, Paulo Ricardo G.
author_facet Bender, Luciano Pereira
Meyer, Maria Rita F.
Rosa, Rafael Fabiano M.
Rosa, Rosana Cardoso M.
Trevisan, Patrícia
Zen, Paulo Ricardo G.
author_sort Bender, Luciano Pereira
collection PubMed
description OBJECTIVE: To report the uncommon association between neurofibromatosis type 1 (NF1) and unroofed coronary sinus. CASE DESCRIPTION: Girl with four years and six months old who was hospitalized for heart surgery. The cardiac problem was discovered at four months of life. On physical examination, the patient presented several café-au-lait spots in the trunk and the limbs and freckling of the axillary and groin regions. Her father had similar skin findings, suggesting the NF1 diagnosis. The cardiac evaluation by echocardiography disclosed an atrial septal defect of unroofed coronary sinus type. This cardiac finding was confirmed at surgery. The procedure consisted of the atrial septal defect repair with autologous pericardium. COMMENTS: NF1 is a common autosomal dominant disorder caused by mutations in the NF1 gene. Among the NF1 findings, congenital heart defects are considered unusual. In the literature review, there was no association between NF1 and unroofed coronary sinus, which is a rare cardiac malformation, characterized by a communication between the coronary sinus and the left atrium, resultant from the partial or total absence of the coronary sinus roof. It represents less than 1% of atrial septal defect cases. More reports are important to determine if this association is real or merely casual, since NF1 is a common condition.
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spelling pubmed-41830392014-10-14 Unroofed coronary sinus in a patient with neurofibromatosis type 1 Bender, Luciano Pereira Meyer, Maria Rita F. Rosa, Rafael Fabiano M. Rosa, Rosana Cardoso M. Trevisan, Patrícia Zen, Paulo Ricardo G. Rev Paul Pediatr Case Report OBJECTIVE: To report the uncommon association between neurofibromatosis type 1 (NF1) and unroofed coronary sinus. CASE DESCRIPTION: Girl with four years and six months old who was hospitalized for heart surgery. The cardiac problem was discovered at four months of life. On physical examination, the patient presented several café-au-lait spots in the trunk and the limbs and freckling of the axillary and groin regions. Her father had similar skin findings, suggesting the NF1 diagnosis. The cardiac evaluation by echocardiography disclosed an atrial septal defect of unroofed coronary sinus type. This cardiac finding was confirmed at surgery. The procedure consisted of the atrial septal defect repair with autologous pericardium. COMMENTS: NF1 is a common autosomal dominant disorder caused by mutations in the NF1 gene. Among the NF1 findings, congenital heart defects are considered unusual. In the literature review, there was no association between NF1 and unroofed coronary sinus, which is a rare cardiac malformation, characterized by a communication between the coronary sinus and the left atrium, resultant from the partial or total absence of the coronary sinus roof. It represents less than 1% of atrial septal defect cases. More reports are important to determine if this association is real or merely casual, since NF1 is a common condition. Sociedade de Pediatria de São Paulo 2013-12 /pmc/articles/PMC4183039/ /pubmed/24473962 http://dx.doi.org/10.1590/S0103-05822013000400019 Text en http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Bender, Luciano Pereira
Meyer, Maria Rita F.
Rosa, Rafael Fabiano M.
Rosa, Rosana Cardoso M.
Trevisan, Patrícia
Zen, Paulo Ricardo G.
Unroofed coronary sinus in a patient with neurofibromatosis type 1
title Unroofed coronary sinus in a patient with neurofibromatosis type 1
title_full Unroofed coronary sinus in a patient with neurofibromatosis type 1
title_fullStr Unroofed coronary sinus in a patient with neurofibromatosis type 1
title_full_unstemmed Unroofed coronary sinus in a patient with neurofibromatosis type 1
title_short Unroofed coronary sinus in a patient with neurofibromatosis type 1
title_sort unroofed coronary sinus in a patient with neurofibromatosis type 1
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4183039/
https://www.ncbi.nlm.nih.gov/pubmed/24473962
http://dx.doi.org/10.1590/S0103-05822013000400019
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