{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:07Z","timestamp":1753876207479,"version":"3.41.2"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T00:00:00Z","timestamp":1621209600000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Isolated coronary sinus atrial septal defect (CSASD) is a rare congenital cardiac anomaly, comprising &amp;lt;1% of atrial septal defects. Elderly patients with this anomaly are even more uncommon and sometimes overlooked.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 73-year-old man with a history of electrical defibrillation therapy for atrial flutter presented with worsening exertional dyspnoea. Cardiac examination revealed CSASD without persistent left superior vena cava, showing only moderate tricuspid regurgitation. Surgical repair of the defect and regurgitant valve improved symptoms dramatically.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Elderly patients with atrial arrhythmias might show uncommon presentations of congenital heart disease. Cardiologists should pay attention to enlarged right ventricle, pulmonary artery, and, in particular, enlarged coronary sinus. Direct closure with interrupted sutures secured with pledgets is effective in some case of terminal type of CSASD.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytab152","type":"journal-article","created":{"date-parts":[[2021,5,17]],"date-time":"2021-05-17T10:09:33Z","timestamp":1621246173000},"source":"Crossref","is-referenced-by-count":0,"title":["A case report of an elderly male with isolated coronary sinus atrial septal defect"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0746-8613","authenticated-orcid":false,"given":"Junko","family":"Okamoto","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Osaka Medical College, 2-7 Daigaku-Machi, Takatsuki, Osaka 569-0801, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2526-5801","authenticated-orcid":false,"given":"Shinji","family":"Fukuhara","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Osaka Medical College, 2-7 Daigaku-Machi, Takatsuki, Osaka 569-0801, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8608-6479","authenticated-orcid":false,"given":"Hideki","family":"Ozawa","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Osaka Medical College, 2-7 Daigaku-Machi, Takatsuki, Osaka 569-0801, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0967-1201","authenticated-orcid":false,"given":"Takahiro","family":"Katsumata","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Osaka Medical College, 2-7 Daigaku-Machi, Takatsuki, Osaka 569-0801, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,5,17]]},"reference":[{"key":"2021070816564932400_ytab152-B1","first-page":"163","volume-title":"Diagnosis and Management of Adult Congenital Heart Disease","author":"Rigby","year":"2003"},{"key":"2021070816564932400_ytab152-B2","volume-title":"Anderson\u2019s Pediatric Cardiology","author":"Redington","year":"2020","edition":"4th ed"},{"key":"2021070816564932400_ytab152-B3","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/0735-1097(94)90302-6","article-title":"Determinants of functional tricuspid regurgitation in incomplete tricuspid valve closure: Doppler color flow study of 109 patients","volume":"24","author":"Sagie","year":"1994","journal-title":"J Am Coll Cardiol"},{"key":"2021070816564932400_ytab152-B4","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/S0003-4975(10)65632-9","article-title":"Atrial septal defect with termination of left superior vena cava in the left atrium and absence of the coronary sinus","volume":"17","author":"Helseth","year":"1974","journal-title":"Ann Thorac Surg"},{"key":"2021070816564932400_ytab152-B5","doi-asserted-by":"crossref","first-page":"W331","DOI":"10.2214\/AJR.09.3689","article-title":"Partially unroofed coronary sinus: MDCT and MRI findings","volume":"195","author":"Kim","year":"2010","journal-title":"Am J Roentgenol"},{"key":"2021070816564932400_ytab152-B6","doi-asserted-by":"crossref","first-page":"1884","DOI":"10.1161\/CIR.0000000000000204","article-title":"Congenital heart disease in the older adult. 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