Anatomy of coronary sinus ostium

• Autorzy: Zhivadinovik J. , Papazova M. , Matveeva N. , Dodevski A. , Zafirova B.
• Języki publikacji: EN

Abstrakty

EN

Background: The coronary sinus is the main cardiac vein and it has become a clinically important structure especially through its role in providing access for different cardiac procedures. Materials and methods: The study was carried out on 100 randomly selected adult human cadaver hearts fixed in 10% formalin. The transverse and craniocaudal diameters of the coronary sinus ostium (CSO) were directly measured. The presence of the Thebesian valve was noted and the anatomical details of the valve were documented in each case in terms of the shape and extent of coverage of the CSO. Results: Considerable variations in the diameter of the CSO were observed. The mean craniocaudal diameter of the CSO was 8.1 ± 1.51 mm, and the mean transverse diameter was 7.67 ± 1.72 mm. Heart specimens without Thebesian valve tended to have larger ostia. The mean craniocaudal diameter and the mean transverse diameter of the CSO were statistically larger in the specimens without Thebesian valves (p = 0.000 and p = 0.001, respectively). Conclusions: The Thebesian valves were observed in 86 hearts, and a wide variety of their morphology was seen. The majority of the Thebesian valves were semilunar in shape (74.42%). The extent to which the valve covered the ostium was variable, including remnant valves that covered < 15% of the CSO (35%), and valves that were large and covered at least 75% of the CSO (22.09%). In 3 specimens the valve completely occluded the ostium. (Folia Morphol 2016; 75, 2: 264–267)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2016
• Tom: 75
• Numer: 2
• Opis fizyczny: p.264-267,fig.,ref.

Twórcy

autor

Zhivadinovik J.

• Institute of Anatomy, Medical Faculty, 50 Divizija 6, 1000 Skopje, R.Macedonia

autor

Papazova M.

• Institute of Anatomy, Medical Faculty, Skopje, R.Macedonia

autor

Matveeva N.

• Institute of Anatomy, Medical Faculty, Skopje, R.Macedonia

autor

Dodevski A.

• Institute of Anatomy, Medical Faculty, Skopje, R.Macedonia

autor

Zafirova B.

• Institute of Anatomy, Medical Faculty, Skopje, R.Macedonia

Bibliografia

• 1. Anh DJ, Eversull CS, Chen HA, Mofrad P, Mourlas NJ, Mead RH (2008) Characterization of human coronary sinus valves by direct vizuelization during biventricular pacemaker implantation. Pacing Clin Electrophysiol, 31: 78–82.
• 2. D’Cruz IA, Shirwany A (2003) Update on echocardiography of coronary sinus anatomy and physiology. Echocardiography, 20: 87–95.
• 3. Ghosh KS, Raheja S, Tuli A (2014) Obstructive Thebesian valve: anatomical study and implications for invasive cardiologic procedures. Anat Sci Int, 89: 85–94.
• 4. Habib A, Lachman N, Christensen K, Asirvatham S (2009) The anatomy of the coronary sinus venous system for the cardiac electrophysiologist. Europace, 11: 15–21.
• 5. Jatene M, Jatene F, Costa R (1991) Anatomical study of the coronary sinus valve — Thebesius valve. Chest, 100 (suppl.): 90S.
• 6. Karaca M, Bilge O, Dinckal MH, Ucerler H (2005) The anatomic barriers in the coronary sinus: implications for clinical procedures. J Interv Card Electrophysiol, 14: 89–94.
• 7. Kautzner J (2009) Thebesian valve: the guard dog of the coronary sinus? Europace 11: 1136–1137.
• 8. Kebble W, Mohiaddin R (2008) Technical failure to perform cardiac resynchronization therapy: Use of cardiac magnetic resonance imaging techniques to clarify a left-sided superior vena cava and coronary sinus morphology. Can J Cardiol, 24: 589–590.
• 9. Loukas M, Clarke P, Tubbs RS, Kolbinger W (2008) Adam Christian Thebessius, a historical perspective. Int J Cardiol, 129: 138–140.
• 10. Mak GS, Hill Aj, Moisiuc F, Krishnan SC (2009) Variations in Thebesian valve anatomy and coronary sinus ostium: implications for invasive electrophysiology procedures. Europace, 11: 1188–1192.
• 11. Pejkovic B, Krajnc I, Anderhuber F, Kosutic D (2008) Anatomical variations of the coronary sinus ostium area of the human heart. J Int Med Res, 36: 314–321.
• 12. Singh JP, Houser S, Heist EK, Ruskin JN (2005) The coronary venous anatomy: a segmental approach to aid cardiac resynchronization therapy. J Am Coll Cardiol, 46: 68–74.

Identyfikatory

DOI

10.5603/FM.a2015.0089