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Topic: Coronary sinus


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In the News (Fri 25 Dec 09)

  
  eMedicine - Atrial Septal Defect, Coronary Sinus : Article Excerpt by: Louis I Bezold, MD
Background: Coronary sinus atrial septal defects (ASDs) are defects located in the portion of the atrial septum that includes the coronary sinus orifice, and they are characterized by the absence of at least a portion of the common wall separating the coronary sinus and the left atrium.
Coronary sinus ASDs are believed to arise from developmental failure of formation of the wall between the coronary sinus and the left atrium.
The coronary sinus is a systemic venous structure embryologically derived primarily from the left common cardinal vein that is continuous with the left anterior cardinal vein.
www.emedicine.com /ped/byname/atrial-septal-defect-coronary-sinus.htm   (640 words)

  
  Atrial
The sinus venosus defect occurs as a result of deficient tissue along the remnant of the right horn of the sinus venosus, which extends from the orifice of the superior vena cava to the orifice of the inferior vena cava.
Coronary sinus defects occur as a result of a deficiency in the remnant of the left horn of the sinus venosus, which extends along the entire length of the coronary sinus.
The opening of the coronary sinus is usually present in the usual location, however, the wall between the coronary sinus and the left atrium is variably deficient.
www.pediheart.org /practitioners/defects/atrial.htm   (2372 words)

  
 Coronary Arteries
The epicardial coronary artery system consists of the left and right coronary arteries, which normally arise from ostia located in the left and right sinuses of Valsalva, respectively (see figures 104c, 104d, 104e, 104f, 104h).
The natural history of coronary fistulas is variable,with periods of stability in some and sudden onset or gradual progression of symptoms in others.Spontaneous closure is uncommon.
A large coronary arteriovenous fistula can be seen originating in the left coronary artery, coursing over the lateral and posterior walls of the left ventricle, and eventually emptying into the right atrium.
www.rjmatthewsmd.com /Definitions/coronary_arteries.htm   (580 words)

  
 Rupture of Sinus of Valsalva presenting with Acute Left Ventricular Failure
Malcolm I,Unruptured aneurysm of the sinus of valsalva.
Ruptured aneurysm of the sinus of valsalva in oriental population.
Steinberg I,Finby N.Clinically manifestation of the unperforated aortic sinus aneurysm.
www.pjms.com.pk /issues/julsep05/article/casereport2.html   (983 words)

  
 Coronary sinus catheter - Patent 4927412
In general, the coronary sinus catheter is comprised of a flexible elongate member having at least two lumens extending longitudinally thereof.
The cardioplegia catheter is intended to be placed in the coronary sinus of the patient during open heart surgery and is intended to provide nutrient solutions to the myocardium to support the heart muscle during the time that the operation is taking place when the heart is not beating, that is, during cardioplegia.
It has been found that the particular shape of the balloon with the lands thereon adapts the balloon for engaging the tissue forming the sinus so that the balloon is retained within the sinus with a high retentive force which cannot be readily dislodged and therefore serves to maintain the catheter in the desired position.
www.freepatentsonline.com /4927412.html   (1666 words)

  
 The coronary sinus conduit function: Anatomical study (relationship to adjacent structures) -- El-Maasarany et al. 7 ...
the coronary sinus ostium and the centre of the mitral valve
The coronary sinus, CS, and the left circumflex artery, LCX, are embedded in the subepicardial fat, EF, of the atrioventricular groove.
and the coronary sinus was in region 6.
europace.oxfordjournals.org /cgi/content/full/7/5/475   (3263 words)

  
 Coronary sinus - Wikipedia, the free encyclopedia
The coronary sinus is a vein that collects blood from the myocardium of the heart.
The coronary sinus orifice (opening) is just superior to the septal leaflet of the tricuspid valve.
veins of the neck: external jugular - sinus - posterior external jugular - anterior jugular - internal jugular - inferior petrosal sinus - lingual - ranine - pharyngeal - superior thyroid - middle thyroid - vertebral - deep cervical
en.wikipedia.org /wiki/Coronary_sinus   (570 words)

  
 Anomalous orgin of a coronary ostia from the right sinus of Valsalva in a patient with hypertrophic cardiomyopathy ...
The superior left ostium gave rise to a coronary artery supplying the anterolateral wall of the left ventricle; this artery was designated arbitrarily as a ramus branch, and it supplied the portion of the left ventricle typically supplied by a first obtuse marginal or ramus intermedius.
The causes of death in these cases3 were hypertensive atherosclerotic coronary artery disease in a 64year-old and complications of a motor vehicle accident in a 62-year-old with cardiomegaly due to hypertensive heart disease.
In addition, sudden death secondary to anomalous origin of the coronary arteries is rare after the age of 40,4 there was no artery coursing between the aorta and the pulmonary artery, and there was no demonstrable necrosis or scarring in the ventricular myocardium to suggest prior episodes of ischemia.
www.findarticles.com /p/articles/mi_qa3725/is_200111/ai_n9016286   (798 words)

  
 CoronarySinus.com - Society of Coronary Sinus Interventions   (Site not responding. Last check: 2007-10-17)
Interestingly enough this part of the coronary circulation has been neglected for a number of years, although it becomes more and more evident that the disease process in myocardial ischemia and reperfusion influences and is influenced by the coronary veins.
The knowledge of the early days of coronary sinus arterialisation is necessary for innovators, who plan to use the same pathways and for investors to find out, whether newly advertised methods are a hope or a hype....
Coronary Sinus Interventions in Cardiac Surgery, 2nd Ed.
www.coronarysinus.com /books.asp   (553 words)

  
 Repair Of Coronary Sinus Rupture Secondary To Internal Cardiac Massage
This is the first report of coronary sinus injury secondary to internal cardiac massage.
The hematoma had obscured the tissue planes and it was not possible to discern clearly the edges of the defect in the coronary sinus all round (Figure 1).
A ruptured coronary sinus is very difficult to repair primarily as the edges are not clearly seen and the hematoma causes obliteration of normal tissue planes.
www.ispub.com /ostia/index.php?xmlFilePath=journals/ijtcvs/vol5n1/coro.xml   (612 words)

  
 Echocardiography
Patients with anomalous left main coronary artery arising from the right sinus of Valsalva and coursing posteriorly between the aorta and the pulmonary artery are prone to sudden death.
Twenty of the 27 p atients with an intramural coronary artery were correctly diagnosed prospectively by echocardiography (sensitivity, 75%), including 17 of 23 patients with an intramural left coronary artery or left anterior descending coronary artery and 3 of 4 patients w ith an intramural right coronary artery.
Two primary diagnostic criteria were identified: a major coronary artery arising from the contralateral septal sinus, near the usually intercoronary commissure, and a course for this vessel within the posterior aor tic wall between the great arteries, creating a "double-border" appearance.
www2.umdnj.edu /~shindler/coranom.html   (3796 words)

  
 The thorax
The Coronary Valve is a semicircular fold of the lining membrane of the auricle, protecting the orifice of the coronary sinus.
The sinus is cuboidal in form, and concealed in front by the pulmonary artery and aorta; internally, it is separated from the right auricle by the septum auricu-larum; and behind, it receives on each side the pulmonary veins, being free in the rest of its extent.
The annular fibres surround the whole extent of the appendices auriculas, and are continued upon the walls of the venae cavas and coronary sinus on the right side, and upon the pulmonary veins on the left side, at their connection with the heart.
thethorax.com /heart.html   (4182 words)

  
 eMedicine - Atrial Septal Defect, Coronary Sinus : Article by Louis I Bezold, MD
Sinus bradycardia or junctional rhythm and atrioventricular block are reported in association with unrepaired secundum ASDs.
Coronary sinus ASDs may be observed in association with complex forms of congenital heart disease, most often in association with abnormalities of atrial situs and heterotaxy syndromes with polysplenia or asplenia.
The surgical treatment of isolated coronary sinus ASD is complicated by its proximity to the atrioventricular node.
www.emedicine.com /ped/topic2493.htm   (4581 words)

  
 The coronary circulation in human septic shock.
To determine whether myocardial depression in human septic shock is associated with reduced coronary flow, thermodilution coronary sinus catheters were placed in seven patients with septic shock for measurements of coronary flow and myocardial metabolism.
In general, compared with values in control subjects, the oxygen content difference (arterial minus coronary sinus) was narrowed, and the fractional extraction of arterial oxygen was diminished.
The preservation of coronary flow, the net myocardial lactate extraction, and the increased availability of oxygen to the myocardium argue against global ischemia as the cause of myocardial depression in human septic shock.
www.aegis.com /aidsline/1986/jun/M8660212.html   (436 words)

  
 Coronary sinus approach for repair of mitral valve regurgitation patent invention
Some of these devices attempt to correct mitral valve regurgitation by placing a compressive force on the coronary sinus that then compresses at least a portion of the mitral valve annulus adjacent the coronary sinus.
Still other devices that are implanted in the coronary sinus attempt to decrease valve regurgitation by straightening the radius of the coronary sinus.
Straightening the coronary sinus results in a corresponding straightening of a portion of the mitral valve annulus adjacent the straightened coronary sinus.
www.freshpatents.com /Coronary-sinus-approach-for-repair-of-mitral-valve-regurgitation-dt20070111ptan20070010878.php   (1363 words)

  
 Circulation of the Heart   (Site not responding. Last check: 2007-10-17)
The arteries that supply the heart are coronary arteries; the veins of the heart are known as the cardiac veins.
The right coronary artery originates from the right aortic sinus and passes to the right, behind the pulmonary trunk, to run downward in the coronary sulcus between the right atrium and the right ventricle.
The posterior vein of the left ventricle drains the diaphragmatic surface of the ventricle and enters the coronary sinus soon after the sinus is formed.
oak.cats.ohiou.edu /~jr888793/circulation.html   (555 words)

  
 The Journal of Invasive Cardiology - Coronary Anomalies
An anomalous left coronary artery originating from the pulmonary artery (ALCAPA) is a rare congenital coronary abnormality often associated with myocardial infarction, congestive heart failure and sudden death.
Single coronary artery anomaly, with the left main artery originating from the proximal right coronary artery, can be responsible for myocardial blood supply insufficiency and causes chest pain or sudden death, especially during physical exercise, as it courses between the aorta and the pulmonary artery.
Anomalous origin of coronary arteries is discovered incidentally during coronary arteriography or at autopsy, and awareness among angiographers is required.
www.invasivecardiology.com /Coronary-Anomalies   (1148 words)

  
 Coronary Sinus Flow Measurement by Means of Velocity-encoded Cine MR Imaging: Validation by Using Flow Probes in Dogs ...
The coronary sinus (arrows) is depicted during late systole with the mitral valve closed and with increased flow in the vessel, which is depicted as a bright area on the phasic image.
Coronary sinus reflux: a source of error in the measurement of thermodilution coronary sinus flow.
Endothelium-dependent dilation of the coronary microvasculature is impaired in dilated cardiomyopathy.
radiology.rsnajnls.org /cgi/content/full/217/2/487   (5204 words)

  
 COMPARATIVE MACROANATOMIC INVESTIGATIONS OF THE VENOUS DRAINAGE OF THE HEART IN AKKARAMAN SHEEP AND ANGORA GOATS
It ascends in the paraconal interventricular groove along with the paraconal interventricular branch of the left coronary artery (6,7) and terminates at the coronary sinus (8).
When the vessel reaches the coronary groove it crosses the circumflex branch of the left coronary artery and opens into the coronary sinus at the level of the left azygos vein and coronary sinus junction (5).
It was seen that the veins of the heart were alongside the coronary arteries, and that the coronary sinus received the middle cardiac, great coronary, small cardiac, veins.
www.isrvma.org /article/56_1_7.htm   (1807 words)

  
 Percutaneous Transmyocardial Intracardiac Retroperfusion Shunts: Technical Feasibility in a Canine Model -- Patel et ...
The arrows denote the auricular orifice of the coronary sinus.
(b) Myocardial ischemia due to coronary artery occlusion and (c) blood flow to the ischemic myocardium and the coronary artery distal to the occlusion with coronary sinus retroperfusion.
Studies on the coronary circulation II: the collateral circulation of the normal human heart by coronary perfusion with radioactive erythrocytes and glass spheres.
www.jvir.org /cgi/content/full/11/3/382   (3651 words)

  
 Cogprints - Arrhythmogenicity of the Coronary Sinus   (Site not responding. Last check: 2007-10-17)
The coronary sinus (CS) is the cardiac venous system that begins at its ostium in the right atrium and ends at the origin of the great cardiac vein.
The anatomy of the coronary sinus and its tributaries.
Dissociation between coronary sinus and left atrial conduction in patients wirth atrial fibrillation and flutter.
cogprints.org /4182   (1228 words)

  
 Valve of the coronary sinus - Wikipedia, the free encyclopedia
The valve of the coronary sinus (Thebesian valve) is a semicircular fold of the lining membrane of the atrium, at the orifice of the coronary sinus.
Anatomy of the valve of the coronary sinus (thebesian valve).
valve of the coronary sinus) → tricuspid valve → right ventricle (conus arteriosus, moderator band/septomarginal trabecula)  → pulmonic valve  → (pulmonary artery and pulmonary circulation)
en.wikipedia.org /wiki/Valve_of_the_coronary_sinus   (232 words)

  
 Pressure-controlled intermittent coronary sinus occlusion apparatus and method (US4934996)
The duration of the interruption before the next occlusion is controlled in response to the volume flow in the sinus during the interruption.
Pharmacological agents are injected into the sinus during the occlusion, for retroprofusion to the heart tissue.
Apparatus for intermittently occluding a coronary sinus comprising
www.delphion.com /details?pn10=US04934996   (789 words)

  
 [No title]
courses in the atrioventricular (coronary) sulcuscoronary, leftascending aortaanterior interventricular a., circumflex a.left ventricle, left atrium, anterosuperior 2/3 of the interventricular septumleft coronary a.
and the smallest cardiac vv.coronary sinus is located in the coronary (atrioventricular) sulcus; its opening into the right atrium is guarded by an imperfect valve oblique v.
passes beneath itpericardial sinus, obliquean area of the pericardial cavity located behind the left atrium of heartserous pericardium reflects onto the inferior vena cava and pulmonary vv.
www.uams.edu /m2004/gross_tables/9-15.doc   (1175 words)

  
 Coronary sinus occlusion enhances coronary collateral flow and reduces subendocardial ischemia -- Ido et al. 280 (3): ...
A balloon catheter with a specially designed tip was positioned at the orifice of the coronary sinus to allow occlusion and reperfusion of the coronary sinus.
Coronary steal: its role in detrimental effect of isoproterenol after acute coronary occlusion in dogs.
The efficacy of intermittent coronary sinus occlusion in the absence of coronary artery collaterals.
ajpheart.physiology.org /cgi/content/full/280/3/H1361   (4287 words)

  
 Congenital Malformations of the Right Atrium and the Coronary Sinus : An Analysis Based on 103 Cases Reported in the ...
Di Segni, E, Siegal, A, Katzenstein, M (1986) Congenital diverticulum of the heart arising from the coronary sinus.
Omran, H, Pfeiffer, D, Tebbenjohanns, J, et al (1995) Echocardiographic imaging of coronary sinus diverticula and middle cardiac veins in patients with preexcitation syndrome: impact on radiofrequency catheter ablation of posteroseptal accessory pathways.
Guiraudon, GM, Guiraudon, CM, Klein, GJ, et al (1988) The coronary sinus diverticulum: a pathologic entity associated with the Wolff-Parkinson-White syndrome.
www.chestjournal.org /cgi/content/full/117/6/1740   (3792 words)

  
 CoronarySinus.com - Society of Coronary Sinus Interventions
The big problem remains that in human anatomy the route of the coronary sinus is not in the same plane as the mitral valve.
Furthermore this beneficial effect was closely related to the achieved coronary sinus pressure during intermittent occlusions.
Methods: Intermittent coronary sinus occlusion was performed in 12 adult anesthetized sheep during occlusion of the LAD.
www.coronarysinus.com   (756 words)

  
 Effects of Elevated Coronary Sinus Pressure on Coronary Blood Flow and Left Ventricular Function : Implications After ...
a decrease in CBF concomitant with the elevation of the coronary
a collateral pathway from the coronary sinus to the pulmonary
Coronary flow rate and perfusion pressure as determinants of mechanical function and oxidative metabolism of isolated perfused rat heart.
circ.ahajournals.org /cgi/content/full/92/9/298   (3865 words)

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