The Coronary Sinus Proceedings of the 1st International Sympoisum on Myocardial Protection Via the Coronary Sinus

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Published by Springer .

Written in English

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  • Cardiology,
  • Medical / Nursing

Edition Notes

Book details

ContributionsW. Mohl (Editor), E. Wolner (Editor), D. Glogar (Editor)
The Physical Object
Number of Pages560
ID Numbers
Open LibraryOL12921550M
ISBN 103798506434
ISBN 109783798506435

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This book is the "standard" if it comes to describe the knowledge on the anatomy and pathophysiology on coronary veins. 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.

Volume 4 - Coronary Sinus Interventions and Interventional Therapy: This book gives you a good overview on the different forms of the coronary sinus interventions and the history on their investigation.

It formulates also moral standards in clinical research by one of the leading surgeons of the early days Dwight Harken. read more buy online. Download E-books Coronary Sinus Intervention in Cardiac Surgery (Medical Intelligence Unit) PDF.

In the first portion of this ebook the micro-anatomy The Coronary Sinus book the coronary sinus is defined with its direction and form, size and width, myocardial hide and preliminary and terminal valves.

The quantity, diameter and mode of openings of the main cardiac /5(34). coronary sinus ligation or retroperfusion will result in increased coronary artery blood flow [3, This is the physiological basis for all coronary sinus interventions.

When the coronary arteries are patent and the coro- nary sinus is occluded, there is an immediate fall in coro. Robert F. English, José A. Ettedgui, in Paediatric Cardiology (Third Edition), Coronary Sinus Defects. The coronary sinus defect consists of an interatrial communication through the orifice of the coronary sinus, with absence of the usually adjacent walls of the coronary sinus and left atrium.

Most times there is also connection of a persistent left superior caval vein to the left. The coronary sinus may be involved in a number of different procedures or pathologic processes: the coronary sinus is a good position for lead placement in biventricular pacing; the coronary sinus may be an ablation target for some arrhythmia/dysrhythmias (e.g.

Wolff-Parkinson-White syndrome). 3) Engaging the coronary sinus ostium with the catheter tip. It’s vital to understand the relationship between the coronary sinus, tricuspid valve, and IVC: The IVC is right (C), CS is in a mid position (D), and tricuspid is left (E) [Deep 4-chamber view of a catheter.

directed toward the tricuspid valve. The catheter. Structure. There are generally three aortic sinuses, one anterior and two posterior sinuses. These give rise to coronary arteries. The left posterior aortic sinus gives rise to the left coronary artery.; The anterior aortic sinus gives rise to the right coronary artery.; The right posterior aortic sinus usually gives rise to no vessels, and is often known as the non-coronary sinus.

The normal coronary sinus measures mm. Dilatation of the coronary sinus may resemble an atrioventricular defect on gray scale imaging (1,2). Dilatation of the coronary sinus: Dilatation due to volume overload is usually due to a persistent left superior vena cava (SVC) draining into it (3).

Coronary sinus rhythm. Coronary sinus rhythm manifests with inverted P waves in inferior leads. It is also known as low atrial rhythm. PR interval in low atrial rhythm is longer than that in high junctional rhythm, which it mimics on an ECG.

It seldom needs any treatment. QRS is narrow and of normal morphology. The coronary sinus is a collection of smaller veins that merge together to form the sinus (or large vessel), which is located along the heart's posterior (rear) surface between the left ventricle.

agnose coronary sinus orifice atresia by detecting flow The Coronary Sinus book in the coronary sinus [8]. In case 1 there was insufficient opacification of the left SVC and coronary sinus at cardiac catheterization for this to be certain preoperatively.

As a result of the absent coronary sinus, communication to. The coronary sinus function runs transversely in the left atrioventricular groove on the back of the heart. It is the distal part of the great cardiac vein supplying the right atrium.

The valve of the coronary sinus is located on the posterior. The inferior surface of the heart, medially to the lower opening of the vena cava. Coronary sinus anatomy includes valves that prevent blood from flowing in the wrong direction. Between the inferior vena cava and the tricuspid valve that stops blood from regurgitating from the right ventricle into the right atrium is the opening that marks the start of the coronary sinus.

The coronary sinus empties directly into the right atrium near the conjunction of the posterior interventricular sulcus and the coronary sulcus (crux cordis area), located between the inferior vena cava and tricuspid valve; this atrial ostium can be partially covered by a Thebesian valve, although the anatomy of this valve is highly variable.

Author. Tommaso Gori 1. Case summary. A year-old man with a history of 2-vessel coronary artery stenting, hypertension and type-2 diabetes mellitus was admitted 5 times within September and November for recurrent angina CCS class III-IV refractory to therapy with nitrates, b-blockers and ranolazine in maximally tolerated doses.

The coronary sinus may open into the left atrium. In one study, two of (%) hearts lacked a valve. The coronary sinus has been reported to be as long as cm but is usually about cm in length. According to the Piffer, et al study, the coronary sinus varied between to cm in length.

Phase contrast imaging was performed to quantify blood flow in the coronary sinus at rest and at peak stress. Late gadolinium enhancement (LGE) imaging was performed to identify scar. Patients were followed-up for a composite primary endpoint of cardiovascular death, acute myocardial infarction, unstable angina, hospitalization for heart.

Coronary Sinus Catheter Placement Gregory S. Miller, MD Staff Anesthesiologist, Sacred Heart Medical Center, Spokane, WA Introduction Minimally invasive cardiac surgery utilizes a variety of specialized catheters and cannulae.

The coronary sinus (CS) catheter has gained a reputation for being the most challenging of these catheters to place. coronary sinus and its connections with the left atrial myocardium. When necessary, supplementary sections at intervals of 20 mm were examined to analyze specific features.

Selected sections were stained with hematoxylin and eosin or Masson’s trichome. The coronary sinus (large arrow) can be identified during the venous phase.

The CS ostium is also directly visualized (small arrow). The pericardiophrenic vein was visualized in nine patients (%). The Journal of Thoracic and Cardiovascular Surgery Vol Issue 1, JulyPages Total anomalous pulmonary venous drainage to the coronary sinus: A revised procedure for its correction Richard VanPraaghM.D.

Alden M.D. GeorgesDelisleM.D. MasahikoAndoM.D. Robert D. The coronary sinus (CS) is a small tubular structure just above the posterior left atrioventricular junction.

The CS can be imaged in several different echocardiographic views. Using zoom M‐mode recordings of the CS in apical two‐chamber view, CS caliber can be sharply imaged and easily measured during different phases of the cardiac cycle. The concept of myocardial salvage through coronary sinus intervention dates back to the 19th century.

1 The aim was to increase the flow of oxygenated blood to the ischemic myocardial tissue by perfusing the coronary bed retrogradely from the coronary sinus.

Initial attempts to achieve this goal by anastomosing an arterial vessel with the coronary sinus have failed because prolonged occlusion. Sinus arrhythmia does not relate to the sinus cavities in the face but to the sinoatrial or sinus node in the heart.

The sinoatrial or sinus node is located in the upper chamber on the right side. Coronary sinus (CS) is the largest vein of the heart. It is least explored compared to its arterial counterpart due to life saving interventional approaches through coronary artery.

Most of the modern procedures in electrophysiology require deep understanding of coronary sinus and its tributaries. In this review article, I tried to.

The presence of a markedly dilated coronary sinus (arrows in all panels) in an otherwise normal heart should trigger consideration of a persistent left superior vena cava that empties directly into the coronary sinus.

It has no pathological sequelae. Agitated saline contrast injected into the left arm will opacify the coronary sinus before the. Taylor AJ, Byers JP, Cheitlin MD, Virmani R. Anomalous right or left coronary artery from the contralateral coronary sinus: "High-risk" abnormalities in the initial coronary artery course and heterogeneous clinical outcomes.

Am Heart J. ; –   Right coronary artery (Arteria coronaria dextra) The right coronary artery (RCA) is one of two main coronary vessels that supply the myocardium (the other being the left coronary artery).It originates from the right aortic sinus of the ascending aorta and runs in the right atrioventricular groove (coronary sulcus) wrapping around the right side of the heart.

Right coronary artery arises from. Select one: a. Anterior aortic sinus of the ascending aorta just above the valve b. Anterior aortic sinus of the coronary sinus just above the valve c. Right posterior aortic sinus of the ascending aorta just above the valve d. Anterior aortic sinus of the descending aorta just above the valve e.

Cardiac electrophysiologists’ use of the coronary sinus (CS) to map and ablate accessory pathways and implant left ventricular leads has emphasized the need for understanding CS anatomy. In this review, we briefly examine the developmental and radiological anatomy of the CS and discuss in detail the gross anatomy of this cardiac vein.

Tactics Optimization of Percutaneous Coronary Intervention in the Area of Bifurcation of the Anterior Descending Artery by Means of Cardiography from the Coronary Sinus. Author(s): Shevchenko Y.L., Ermakov D.Y., Vakhrameeva A.Y. The ECG book is a comprehensive e-book, covering all aspects of clinical ECG interpretation, and will take you from cell to bedside.

Sinus node dysfunction (SND) and sick sinus syndrome (SSS) ECG localization of myocardial infarction / ischemia and coronary artery occlusion (culprit). O Coronary sinus O Left ventricle O Left atrium Right ventricle O Right atrium Get more help from Chegg Get help now from expert Anatomy and Physiology tutors.

(A) The coronary sinus musculature deeply extends into the atrioventricular septal junction (Group A). In these hearts, coronary sinus opening level is close to the level of the atrioventricular node and penetrating bundle of His. Note the normal downward displacement of tricuspid valve annulus into the right ventricle in Figure 2 A.

It is the main tributary of the coronary sinus. Posterior vein of the left ventricle The posterior vein of the left ventricle is a vein of the heart which courses over the inferior wall of the left ventricle and drains into the coronary sinus to the left of where the middle cardiac vein drains into the sinus.

The most malignant congenital coronary artery anomaly usually involves an Anomalous origin of left coronary artery from the opposing right coronary sinus or from Pulmonary Artery. Ammash illustrates what that means, how it affects the heart, the potential reasons for symptoms and what treatment options are available.

Example 2: Initial CRT-D system implant, with coronary sinus venography and defibrillator threshold testing at time of implant. Insertion or replacement of permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber The following summarizes important features of coronary blood flow: Flow is tightly coupled to oxygen demand.

This is necessary because the heart has a very high basal oxygen consumption ( ml O 2 /min/g) and the highest A-VO 2 difference of a major organ ( ml/ ml). In non-diseased coronary vessels, whenever cardiac activity and oxygen consumption increases there is an increase.

the venous drainage of the human myocardium Posted By Evan Hunter Public Library TEXT ID b Online PDF Ebook Epub Library you can also join to the website book library that will show you numerous books from any types literature science.

coronary sinus: [ si´nus ] 1. a recess, cavity, or channel, such as one in bone or a dilated channel for venous blood. 2. an abnormal channel or fistula, permitting escape of pus. 3. paranasal sinus. anal s's furrows, with pouchlike recesses at the distal end, separating the rectal columns ; called also anal crypts.

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