Transthoracic echocardiography can reduce the misdiagnosis and missed diagnosis rates of unroofed coronary sinus syndrome
Objective To analyze the reasons for missed and misdiagnosis of unroofed coronary sinus syndrome(UCSS)by transthoracic echocardiography and propose corresponding solutions.Methods A retrospective analysis was performed on 12 patients with UCSS who underwent surgical treatment in the First Affiliated Hospital of USTC from 2015 to March 2024,including 7 males and 5 females,aged from 3 to 74 years old.The echocardiographic results of the patients were compared,and the included patients were divided into an ultrasound diagnosis group and an ultrasound missed and misdiagnosis group.The preoperative echocardiographic video data of the patients were analyzed,and the specific signs were recorded and analyzed.According to the display of the coronary sinus,it was divided into four types:clear display,suspicious,blurred,and not clearly visible/not visible.The display rate of each section was calculated,the reasons for missed and misdiagnosis were analyzed,and the echocardiographic characteristics of the UCSS were summarized.Results There were 8 cases in the ultrasound diagnosis group,with a diagnostic accuracy rate of 66.7%,1 case of ultrasound missed diagnosis,with a missed diagnosis rate of 8%,and 3 cases of misdiagnosed,with a misdiagnosis rate of 25%.In patients diagnosed with UCSS,the display rate of commonly used sections showing CS was higher than that in the missed or misdiagnosed group.Among them,the non-standard section of the right ventricular inflow tract could be displayed in all patients diagnosed with TTE,and the difference between the two groups was statistically significant(P<0.05).Conclusion Ultrasound physicians'understanding of anatomy,pathophysiology,and hemodynamics of UCSS,as well as the observation of various sections of CS,are essential for accurate diagnosis of the disease.Transthoracic echocardiography is an excellent screening and even diagnostic method for the disease,and it helps to reduce the misdiagnosis and missed diagnosis rates of the disease.
unroofed coronary sinus syndromeatrial septal defectpersistent left superior vena cavaultrasound medical quality control
万方数据
维普
