{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:51:08Z","timestamp":1753876268965,"version":"3.41.2"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T00:00:00Z","timestamp":1738022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Congenitally corrected transposition of the great arteries (ccTGA) is a rare congenital heart defect that is frequently associated with ventricular septal defects (VSDs) and valvular abnormalities. Advanced cardiac imaging techniques are often needed for early detection and detailed study of potential complications during long-term follow-up in these patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 20-year-old male, asymptomatic during regular follow-ups, with ccTGA, restrictive subpulmonary VSD, and mild pulmonary stenosis. Latest outpatient evaluations showed progressive biventricular dilation, particularly in the subpulmonary left ventricle. Advanced cardiac imaging, including magnetic resonance imaging (MRI), identified an imbalance in flow between pulmonary and systemic circulations, indicated by a Qp\/Qs ratio of 2.6, which could not be attributed to the known restrictive VSD. Additionally, 4D-flow MRI sequences detected low-velocity interatrial flow in the lower atrial segment. Subsequent targeted cardiac computed tomography (CT) confirmed extensive unroofing of the coronary sinus, revealing an unrecognized shunt contributing to the patient\u2019s haemodynamic imbalance.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Coronary sinus unroofing is exceedingly rare and often clinically silent, complicating diagnosis. Advanced cardiac imaging (MRI, CT) plays a pivotal role in detecting such anomalies. This case underscores the challenges of diagnosing subtle shunts in complex congenital heart disease and highlights the importance of comprehensive imaging for timely intervention and management.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaf033","type":"journal-article","created":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T11:28:18Z","timestamp":1738063698000},"source":"Crossref","is-referenced-by-count":0,"title":["Coronary sinus unroofing associated with congenitally corrected transposition of the great arteries: a case report"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0577-9239","authenticated-orcid":false,"given":"Federico","family":"Garc\u00eda-Rodeja Arias","sequence":"first","affiliation":[{"name":"Cardiology Deparment, Hospital Universitario Santiago de Compostela , R\u00faa da Choupana s\/n, Santiago de Compostela, La Coru\u00f1a, 15701 Galicia ,","place":["Spain"]},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Cardiovasculares (CIBERCV) ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernardo","family":"L\u00f3pez Abel","sequence":"additional","affiliation":[{"name":"Cardiology Deparment, Hospital Universitario Santiago de Compostela , R\u00faa da Choupana s\/n, Santiago de Compostela, La Coru\u00f1a, 15701 Galicia ,","place":["Spain"]},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Cardiovasculares (CIBERCV) ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda","family":"\u00c1lvarez Barredo","sequence":"additional","affiliation":[{"name":"Cardiology Deparment, Hospital Universitario Santiago de Compostela , R\u00faa da Choupana s\/n, Santiago de Compostela, La Coru\u00f1a, 15701 Galicia ,","place":["Spain"]},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Cardiovasculares (CIBERCV) 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