Coronary Artery Disease
Angioplasty, Balloon, Coronary
Coronary Artery Bypass
Large endothelium-lined venous channels situated between the two layers of DURA MATER, the endosteal and the meningeal layers. They are devoid of valves and are parts of the venous system of dura mater. Major cranial sinuses include a postero-superior group (such as superior sagittal, inferior sagittal, straight, transverse, and occipital) and an antero-inferior group (such as cavernous, petrosal, and basilar plexus).
Air-filled spaces located within the bones around the NASAL CAVITY. They are extensions of the nasal cavity and lined by the ciliated NASAL MUCOSA. Each sinus is named for the cranial bone in which it is located, such as the ETHMOID SINUS; the FRONTAL SINUS; the MAXILLARY SINUS; and the SPHENOID SINUS.
Cardiac Pacing, Artificial
Coronary Vessel Anomalies
Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.
Vena Cava, Superior
Removal of tissue with electrical current delivered via electrodes positioned at the distal end of a catheter. Energy sources are commonly direct current (DC-shock) or alternating current at radiofrequencies (usually 750 kHz). The technique is used most often to ablate the AV junction and/or accessory pathways in order to interrupt AV conduction and produce AV block in the treatment of various tachyarrhythmias.
Paranasal Sinus Diseases
Heart Conduction System
Abnormal cardiac rhythm that is characterized by rapid, uncoordinated firing of electrical impulses in the upper chambers of the heart (HEART ATRIA). In such case, blood cannot be effectively pumped into the lower chambers of the heart (HEART VENTRICLES). It is caused by abnormal impulse generation.
Electrophysiologic Techniques, Cardiac
Sinus Thrombosis, Intracranial
Formation or presence of a blood clot (THROMBUS) in the CRANIAL SINUSES, large endothelium-lined venous channels situated within the SKULL. Intracranial sinuses, also called cranial venous sinuses, include the superior sagittal, cavernous, lateral, petrous sinuses, and many others. Cranial sinus thrombosis can lead to severe HEADACHE; SEIZURE; and other neurological defects.
Heart Arrest, Induced
Sick Sinus Syndrome
A condition caused by dysfunctions related to the SINOATRIAL NODE including impulse generation (CARDIAC SINUS ARREST) and impulse conduction (SINOATRIAL EXIT BLOCK). It is characterized by persistent BRADYCARDIA, chronic ATRIAL FIBRILLATION, and failure to resume sinus rhythm following CARDIOVERSION. This syndrome can be congenital or acquired, particularly after surgical correction for heart defects.
Rapid, irregular atrial contractions caused by a block of electrical impulse conduction in the right atrium and a reentrant wave front traveling up the inter-atrial septum and down the right atrial free wall or vice versa. Unlike ATRIAL FIBRILLATION which is caused by abnormal impulse generation, typical atrial flutter is caused by abnormal impulse conduction. As in atrial fibrillation, patients with atrial flutter cannot effectively pump blood into the lower chambers of the heart (HEART VENTRICLES).
Tachycardia, Sinoatrial Nodal Reentry
A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION).
Bundle of His
Small band of specialized CARDIAC MUSCLE fibers that originates in the ATRIOVENTRICULAR NODE and extends into the membranous part of the interventricular septum. The bundle of His, consisting of the left and the right bundle branches, conducts the electrical impulses to the HEART VENTRICLES in generation of MYOCARDIAL CONTRACTION.
Cardiac Resynchronization Therapy Devices
Types of artificial pacemakers with implantable leads to be placed at multiple intracardial sites. They are used to treat various cardiac conduction disturbances which interfere with the timing of contraction of the ventricles. They may or may not include defibrillating electrodes (IMPLANTABLE DEFIBRILLATORS) as well.
Percutaneous Coronary Intervention
A family of percutaneous techniques that are used to manage CORONARY OCCLUSION, including standard balloon angioplasty (PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY), the placement of intracoronary STENTS, and atheroablative technologies (e.g., ATHERECTOMY; ENDARTERECTOMY; THROMBECTOMY; PERCUTANEOUS TRANSLUMINAL LASER ANGIOPLASTY). PTCA was the dominant form of PCI, before the widespread use of stenting.
Tomography, X-Ray Computed
Tachycardia, Atrioventricular Nodal Reentry
Abnormally rapid heartbeats caused by reentry of atrial impulse into the dual (fast and slow) pathways of ATRIOVENTRICULAR NODE. The common type involves a blocked atrial impulse in the slow pathway which reenters the fast pathway in a retrograde direction and simultaneously conducts to the atria and the ventricles leading to rapid HEART RATE of 150-250 beats per minute.
The small mass of modified cardiac muscle fibers located at the junction of the superior vena cava (VENA CAVA, SUPERIOR) and right atrium. Contraction impulses probably start in this node, spread over the atrium (HEART ATRIUM) and are then transmitted by the atrioventricular bundle (BUNDLE OF HIS) to the ventricle (HEART VENTRICLE).
Coronary Care Units
A form of ventricular pre-excitation characterized by a short PR interval and a long QRS interval with a delta wave. In this syndrome, atrial impulses are abnormally conducted to the HEART VENTRICLES via an ACCESSORY CONDUCTING PATHWAY that is located between the wall of the right or left atria and the ventricles, also known as a BUNDLE OF KENT. The inherited form can be caused by mutation of PRKAG2 gene encoding a gamma-2 regulatory subunit of AMP-activated protein kinase.
Blood Flow Velocity
Body Surface Potential Mapping
Recording of regional electrophysiological information by analysis of surface potentials to give a complete picture of the effects of the currents from the heart on the body surface. It has been applied to the diagnosis of old inferior myocardial infarction, localization of the bypass pathway in Wolff-Parkinson-White syndrome, recognition of ventricular hypertrophy, estimation of the size of a myocardial infarct, and the effects of different interventions designed to reduce infarct size. The limiting factor at present is the complexity of the recording and analysis, which requires 100 or more electrodes, sophisticated instrumentation, and dedicated personnel. (Braunwald, Heart Disease, 4th ed)
Predictive Value of Tests
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.
Maxillary Sinus Neoplasms
An abnormal direct communication between an artery and a vein without passing through the CAPILLARIES. An A-V fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. The locations and size of the shunts determine the degree of effects on the cardiovascular functions such as BLOOD PRESSURE and HEART RATE.
Tachycardia, Ectopic Atrial
Abnormally rapid heartbeats originating from one or more automatic foci (nonsinus pacemakers) in the HEART ATRIUM but away from the SINOATRIAL NODE. Unlike the reentry mechanism, automatic tachycardia speeds up and slows down gradually. The episode is characterized by a HEART RATE between 135 to less than 200 beats per minute and lasting 30 seconds or longer.
Impaired conduction of cardiac impulse that can occur anywhere along the conduction pathway, such as between the SINOATRIAL NODE and the right atrium (SA block) or between atria and ventricles (AV block). Heart blocks can be classified by the duration, frequency, or completeness of conduction block. Reversibility depends on the degree of structural or functional defects.
ANGINA PECTORIS or angina-like chest pain with a normal coronary arteriogram and positive EXERCISE TEST. The cause of the syndrome is unknown. While its recognition is of clinical importance, its prognosis is excellent. (Braunwald, Heart Disease, 4th ed, p1346; Jablonski Dictionary of Syndromes & Eponymic Diseases, 2d ed). It is different from METABOLIC SYNDROME X, a syndrome characterized by INSULIN RESISTANCE and HYPERINSULINEMIA, that has increased risk for cardiovascular disease.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Cardiac Resynchronization Therapy
Ventricular Function, Left
Mitral Valve Annuloplasty
The two large endothelium-lined venous channels that begin at the internal occipital protuberance at the back and lower part of the CRANIUM and travels laterally and forward ending in the internal jugular vein (JUGULAR VEINS). One of the transverse sinuses, usually the right one, is the continuation of the SUPERIOR SAGITTAL SINUS. The other transverse sinus is the continuation of the straight sinus.
Ventricular Dysfunction, Left
A condition in which the LEFT VENTRICLE of the heart was functionally impaired. This condition usually leads to HEART FAILURE; MYOCARDIAL INFARCTION; and other cardiovascular complications. Diagnosis is made by measuring the diminished ejection fraction and a depressed level of motility of the left ventricular wall.
Coronary Artery Bypass, Off-Pump
Any of various animals that constitute the family Suidae and comprise stout-bodied, short-legged omnivorous mammals with thick skin, usually covered with coarse bristles, a rather long mobile snout, and small tail. Included are the genera Babyrousa, Phacochoerus (wart hogs), and Sus, the latter containing the domestic pig (see SUS SCROFA).
Severity of Illness Index
Measurable and quantifiable biological parameters (e.g., specific enzyme concentration, specific hormone concentration, specific gene phenotype distribution in a population, presence of biological substances) which serve as indices for health- and physiology-related assessments, such as disease risk, psychiatric disorders, environmental exposure and its effects, disease diagnosis, metabolic processes, substance abuse, pregnancy, cell line development, epidemiologic studies, etc.
Superior Sagittal Sinus
The long large endothelium-lined venous channel on the top outer surface of the brain. It receives blood from a vein in the nasal cavity, runs backwards, and gradually increases in size as blood drains from veins of the brain and the DURA MATER. Near the lower back of the CRANIUM, the superior sagittal sinus deviates to one side (usually the right) and continues on as one of the TRANSVERSE SINUSES.
Multidetector Computed Tomography
Heart Septal Defects
Sensitivity and Specificity
Platelet Aggregation Inhibitors
Heart Defects, Congenital
A conical fibro-serous sac surrounding the HEART and the roots of the great vessels (AORTA; VENAE CAVAE; PULMONARY ARTERY). Pericardium consists of two sacs: the outer fibrous pericardium and the inner serous pericardium. The latter consists of an outer parietal layer facing the fibrous pericardium, and an inner visceral layer (epicardium) resting next to the heart, and a pericardial cavity between these two layers.
Myocardial Perfusion Imaging
A spectrum of congenital, inherited, or acquired abnormalities in BLOOD VESSELS that can adversely affect the normal blood flow in ARTERIES or VEINS. Most are congenital defects such as abnormal communications between blood vessels (fistula), shunting of arterial blood directly into veins bypassing the CAPILLARIES (arteriovenous malformations), formation of large dilated blood blood-filled vessels (cavernous angioma), and swollen capillaries (capillary telangiectases). In rare cases, vascular malformations can result from trauma or diseases.
Heart Septal Defects, Atrial
Developmental abnormalities in any portion of the ATRIAL SEPTUM resulting in abnormal communications between the two upper chambers of the heart. Classification of atrial septal defects is based on location of the communication and types of incomplete fusion of atrial septa with the ENDOCARDIAL CUSHIONS in the fetal heart. They include ostium primum, ostium secundum, sinus venosus, and coronary sinus defects.
Echocardiography, Doppler, Color
Mitral Valve Insufficiency
Myocardial Reperfusion Injury
A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.
A congenital defect in which the heart is located on the right side of the THORAX instead of on the left side (levocardia, the normal position). When dextrocardia is accompanied with inverted HEART ATRIA, a right-sided STOMACH, and a left-sided LIVER, the combination is called dextrocardia with SITUS INVERSUS. Dextrocardia may adversely affect other thoracic organs.
Agents used for the treatment or prevention of cardiac arrhythmias. They may affect the polarization-repolarization phase of the action potential, its excitability or refractoriness, or impulse conduction or membrane responsiveness within cardiac fibers. Anti-arrhythmia agents are often classed into four main groups according to their mechanism of action: sodium channel blockade, beta-adrenergic blockade, repolarization prolongation, or calcium channel blockade.
Precursor of epinephrine that is secreted by the adrenal medulla and is a widespread central and autonomic neurotransmitter. Norepinephrine is the principal transmitter of most postganglionic sympathetic fibers and of the diffuse projection system in the brain arising from the locus ceruleus. It is also found in plants and is used pharmacologically as a sympathomimetic.
Analysis of Variance
An abnormally rapid ventricular rhythm usually in excess of 150 beats per minute. It is generated within the ventricle below the BUNDLE OF HIS, either as autonomic impulse formation or reentrant impulse conduction. Depending on the etiology, onset of ventricular tachycardia can be paroxysmal (sudden) or nonparoxysmal, its wide QRS complexes can be uniform or polymorphic, and the ventricular beating may be independent of the atrial beating (AV dissociation).
Reproducibility of Results
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.
Sinus Arrest, Cardiac
Generally, restoration of blood supply to heart tissue which is ischemic due to decrease in normal blood supply. The decrease may result from any source including atherosclerotic obstruction, narrowing of the artery, or surgical clamping. Reperfusion can be induced to treat ischemia. Methods include chemical dissolution of an occluding thrombus, administration of vasodilator drugs, angioplasty, catheterization, and artery bypass graft surgery. However, it is thought that reperfusion can itself further damage the ischemic tissue, causing MYOCARDIAL REPERFUSION INJURY.
The process of generating three-dimensional images by electronic, photographic, or other methods. For example, three-dimensional images can be generated by assembling multiple tomographic images with the aid of a computer, while photographic 3-D images (HOLOGRAPHY) can be made by exposing film to the interference pattern created when two laser light sources shine on an object.
Heart Valve Prosthesis Implantation
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
Refractory Period, Electrophysiological
The period of time following the triggering of an ACTION POTENTIAL when the CELL MEMBRANE has changed to an unexcitable state and is gradually restored to the resting (excitable) state. During the absolute refractory period no other stimulus can trigger a response. This is followed by the relative refractory period during which the cell gradually becomes more excitable and the stronger impulse that is required to illicit a response gradually lessens to that required during the resting state.
The 10th cranial nerve. The vagus is a mixed nerve which contains somatic afferents (from skin in back of the ear and the external auditory meatus), visceral afferents (from the pharynx, larynx, thorax, and abdomen), parasympathetic efferents (to the thorax and abdomen), and efferents to striated muscle (of the larynx and pharynx).
A group of diseases in which the dominant feature is the involvement of the CARDIAC MUSCLE itself. Cardiomyopathies are classified according to their predominant pathophysiological features (DILATED CARDIOMYOPATHY; HYPERTROPHIC CARDIOMYOPATHY; RESTRICTIVE CARDIOMYOPATHY) or their etiological/pathological factors (CARDIOMYOPATHY, ALCOHOLIC; ENDOCARDIAL FIBROELASTOSIS).
Coronary artery fistula from the left circumflex to the coronary sinus. (1/174)A 27-year-old woman, who had received mitral valve repair for mitral regurgitation resulting from infective endocarditis, was admitted for a close examination of abnormal echocardiographic findings in the left atrium. Transthoracic echocardiography showed trivial mitral regurgitation with normal left ventricular contraction and dilatation of the coronary sinus. Auscultation revealed a grade 2 continuous murmur along the left sternal border. Transesophageal echocardiography demonstrated a marked dilatation of the coronary sinus just behind the posterior wall of the left atrium and turbulent blood flow in the dilated coronary sinus. Cardiac catheterization showed no significant step-up of oxygen saturation in the right heart and normal pulmonary artery pressure. Coronary angiography revealed a markedly dilated and tortuous circumflex coronary artery connected to the coronary sinus through a fistula. A left circumflex artery with a fistulous connection to the coronary sinus is extremely rare. (+info)
Thoracic vein arrhythmias. (2/174)The thoracic veins are important foci for the genesis of ectopic atrial tachycardia and play a critical role in the pathophysiology of paroxysmal and permanent atrial fibrillation. The pulmonary veins have the highest arrhythmogenic activity and other venous structures (eg, superior vena cava, coronary sinus and ligament of Marshall) have also been shown arrhythmogenic potential. Thoracic veins contain cardiomyocytes with distinct electrical activities and complex anatomical structures. This review summaries the current understanding of the basic and clinical electrophysiology of thoracic vein arrhythmias. (+info)
Catheter ablation therapy for atrial fibrillation: current advancements in strategies. (3/174)Curing atrial fibrillation (AF) by catheter ablation has significantly improved patient morbidity and mortality. The circumferential pulmonary vein isolation technique is established as the principal procedure, with a high cure rate and acceptable safety, for paroxysmal AF, but new adjunctive ablation strategies targeting the AF substrates and sources for long-standing persistent/chronic AF have been developed. These new techniques include linear ablation, complex fractionated atrial electrogram guided ablation, dominant frequency map-guided ablation, ganglionated plexi ablation and disconnection of the coronary sinus and superior vena cava to ablate the AF substrates and sources. The long-term usefulness of the established technique and these innovative adjunctive approaches for the treatment of AF remains to be investigated. (+info)
A novel technique for placement of coronary sinus pacing leads in cardiac resynchronization therapy. (4/174)A new technique for the placement of left ventricular pacing leads in the tributaries of the coronary sinus (CS) is described. Antegrade visualization of the CS is accomplished by selective coronary angiography, and a hydrophilic 0.032 in. wire is advanced along the CS. This facilitates the advancement of a CS sheath over a multipurpose diagnostic catheter. A hydrophilic angioplasty wire is then utilized for the negotiation of the inferior left ventricular vein and successful placement of the left ventricular pacing lead. (+info)
Stabilization of the coronary sinus lead position with permanent stylet to prevent and treat dislocation. (5/174)AIMS: Coronary sinus (CS) leads used for cardiac resynchronization have undergone development in the last years. However, dislocation rate remained high. We explain a simple method to stabilize the CS lead position. METHODS AND RESULTS: Thirty-five patients (11 females, aged 60 +/- 9.2 years) were treated with this method. An over-the-wire left ventricular (LV) pacing lead system was introduced and lodged in the vessel. Then, a stiff stylet was inserted and kept into the CS lead and end of the stylet was cut by a scissor (permanent stylet technique). Pacing and sensing properties of all leads were checked and the guiding sheath was removed. Control echocardiography did not show pericardial effusion. The mean LVpacing threshold was 1.2 +/- 0.8 V and the mean impedance was 625 +/- 143 Omega at the implantation. During follow-up (12.5 +/- 2.5 months), there were no statistically significant changes in pacing threshold and impedance when compared with the implantation measurements. At the last patient visit, the mean LV pacing threshold was 1.1 +/- 0.8 V and the mean impedance was 620 +/- 140 Omega. Impedance measurements did not suggest lead insulation failure. No LV lead dislocations were detected in our 35 cases during the follow-up. CONCLUSION: Permanent stylet technique seems to be a safe and effective procedure to stabilize CS lead position as demonstrated by our 1-year long follow-up results. (+info)
A novel method of multisite atrial pacing, incorporating Bachmann's bundle area and coronary sinus ostium, for electrical atrial resynchronization in patients with recurrent atrial fibrillation. (6/174)AIMS: The aim of the study was to assess efficacy and safety of a novel method of multisite atrial pacing, incorporating Bachmann's bundle (BB) and coronary sinus (CS) ostium pacing, which was implemented for the first time in atrial fibrillation (AF) patients with intra-atrial conduction delay. METHODS AND RESULTS: This follow-up study included 97 patients with drug refractory symptomatic AF, sinus node dysfunction, sinus P-wave > or = 120 ms, and normal atrioventricular conduction. Pacing efficacy was assessed on the basis of two main endpoints: successful rhythm control and the absence of documented or symptomatic AF. During the mean 2.3 +/- 0.7 years of follow-up, the survival rate was 99%, pacing maintenance rate 97%, and the need for re-operation 5%. Rhythm control efficacy was 90%, and 14 patients had no evidence of recurrent AF. After implantation, the mean number of anti-arrhythmic drugs used (P < 0.0001), the need for cardioversion (P < 0.01), and the incidence (P < 0.0001) and duration (P < 0.001) of AF-related hospitalizations decreased. P-wave duration with multisite atrial pacing was shorter than during sinus rhythm, BB, and CS pacing (P < 0.0001). CONCLUSION: A novel method of multisite atrial pacing is safe, provides effective long-term rhythm control, and decreases the necessity for adjunctive therapies in patients with refractory AF and intra-atrial conduction delay. (+info)
Anatomic relations of the Marshall vein: importance for catheterization of the coronary sinus in ablation procedures. (7/174)AIMS: Our objective was to study the anatomic relations of the human left atrial oblique vein (Marshall vein), particularly of its ostium opening into the coronary sinus, in order to guide ablation procedures related to that vein. METHODS AND RESULTS: The study was carried out in 23 heart-specimens (mean weight 446 +/- 204 g) of individuals whose mean ages were 43 +/- 21 years, 20 males. The coronary sinus was opened longitudinally, exposing the ostium of the tributary veins; the Vieussens valve was looked for, as well as its relationship to the left atrial oblique vein. The diameters of the left atrial oblique vein and the coronary sinus ostia were measured and the distance between them was determined. The left atrial oblique vein could be identified in 20 (87%) of the hearts, while the Vieussens valve was present in 17 (74%) of the specimens (in 16 of which the left atrial oblique vein was identified). In such condition, the vein was adjacent to the Vieussens valve and proximally positioned relative to the coronary sinus ostium in most of them (14/16 cases). The mean diameters of the left atrial oblique vein and of the coronary sinus ostia were, respectively, 1.23 +/- 0.38 and 8.22 +/- 1.88 mm. The mean distance between both ostia was 30.9 +/- 10.2 mm. CONCLUSION: When present, the left atrial oblique vein can be easily recognized, adjacent to the Vieussens valve. The mean distance between the coronary sinus opening and left atrial oblique vein ostium was around 30 mm, independently of the heart weight and the presence of cardiomegaly. (+info)
Functional bundle branch block and orthodromic reciprocating tachycardia cycle length: do not bet on accessory pathway location. (8/174)AIMS: To show 2 examples in which the analysis of the effect of bundle branch block on orthodromic reciprocating tachycardia cycle length was misleading. METHODS AND RESULTS: We performed an electrophysiological study in two patients with orthodromic reciprocating tachycardia showing a transition from wide to narrow QRS during tachycardia. Our two cases of left bundle branch block during reciprocating tachycardia using infero-septal pathways show that ventricular to atrial conduction time prolongation may be larger than 30 ms and may be concealed by a shortening of atrial to ventricular conduction time. In the 2 cases, the atrial insertion of the accessory pathway could be successfully ablated from the right atria at the ostium of the coronary sinus. CONCLUSIONS: The observation of the association between left bundle branch block and cycle length prolongation during reciprocating tachycardia may be associated with a successful ablation at the ostium of the coronary sinus. (+info)
Coronary Sinus Atrial Septal Defects | Bookkeeping Services And Quality Tax, Accounting, Payroll Services- Oakland, CA
2] 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. Coronary sinus ASDs involve the inferior and anterior interatrial septa at the usual location of the orifice of the coronary sinus. The orifice of the coronary sinus becomes continuous with the left atrial chamber when a defect occurs in the wall separating the left atrium from the coronary sinus. This arrangement allows shunting between the atria.. From the right atrial aspect of the interatrial septum, the defect may consist of the coronary sinus orifice alone or with additional deficiency of atrial septal tissue around the coronary sinus orifice. On the left atrial side, the defect consists of partial or complete unroofing of the coronary sinus, if the entire superior aspect ...
Assessment of Global Myocardial Perfusion Reserve Using Coronary Sinus Flow Measurements | Clinical Research Trial Listing (...
New life-saving treatments for Coronary artery disease in clinical trial on Assessment of Global Myocardial Perfusion Reserve Using Coronary Sinus Flow Measurements
Coronary Sinus Lead Extraction | LEADconnection
Abstract. Expanded indications for cardiac resynchronization therapy and the increasing incidence of cardiac implantable electronic device infection have led to an increased need for coronary sinus (CS) lead extraction. The CS presents unique anatomical obstacles to successful lead extraction. Training and facility requirements for CS lead extraction should mirror those for other leads. Here we review the indications, technique, and results of CS lead extraction. Published success rates and complications are similar to those reported for other leads, although multiple techniques may be required. Re-implantation options may be limited, which should be incorporated into pre-procedural decision making.. Link to abstract on PubMed. ...
EXPERIMENTAL ATTEMPTS TO INCREASE THE BLOOD SUPPLY TO THE DOGS HEART BY MEANS OF CORONARY SINUS OCCLUSION | JEM
Sudden occlusion of the left anterior descending branch approximately 2 cm. below the ostium of the left circumflex coronary artery in the dogs heart produces a mortality rate of approximately 50 per cent. In dogs weighing approximately 15 kilos surviving more than 24 hours (average 1 week), an infarction is produced which almost invariably measures 5 x 5 cm. on surface. Following coronary sinus obturation such secondary sudden occlusion of the left anterior descending branch is followed either by no infarction or by a reduction in the size of the infarct. The success of the procedure, quite apart from the mortality rate, depends upon the completeness of the coronary sinus obturation. On the other hand, sudden and complete coronary sinus obturation by itself is associated with a high operative mortality and apparently does not affect the mortality rate following subsequent sudden left anterior descending branch occlusion. Partial persistent obturation of the coronary sinus, however, is in ...
Patent US5951471 - Catheter-based coronary sinus mapping and ablation - Google Patents
A catheter-based method for coronary sinus mapping, pacing, and ablation, wherein a flexible electrode catheter, having a tip electrode with suspension structure, is pre-shaped to snugly fit into the coronary sinus, so that the tip electrode is positioned into the sinus; the distal section is deflected to expose a predetermined plurality of electrodes; and RF energy is then applied to the coronary sinus tissue through the electrodes to cause activation mapping, and/or ablation.
Patent US5395331 - Retrograde coronary sinus catheter having a ribbed balloon - Google Patents
A coronary sinus catheter for the retrograde infusion of cardioplegia solutions into the coronary sinus. The catheter is adapted for improved retention in the coronary sinus. The catheter comprises a catheter tube having infusion, pressure-sensing and balloon-inflation lumens, an inflatable balloon and a pressure sensor tube in fluid communication with the balloon-inflation lumen for sensing pressure in the inflatable balloon. The internal volume of the pressure sensor tube is relatively non-expansible relative to the internal volume of the inflation balloon in normal operation of the catheter. The balloon includes a plurality of segmented annular ribs.
Webster Supra CS Decapolar (Coronary Sinus Fixed Curve Catheters)
Webster Supra CS Decapolar (Coronary Sinus Fixed Curve Catheters),Biosense Webster is the source for a complete line of diagnostic coronary sinus catheters for left-sided mapping - all with the quality, reliability and precise performance youve come to expect from the leader in catheter technology. All of our coronary sinus catheters are specifically designed an,medicine,medical supply,medical supplies,medical product
Randomized Comparison of Endocardial Versus Epicardial - From the Coronary Sinus - Left Ventricular Pacing for...
Biventricular pacing is a validated treatment for patients suffering from heart failure resistant to medical treatment. However, up to 30% of the patients are non responsive to this strategy using the coronary sinus approach to pace the Left Ventricle (LV).. It has been demonstrated that the magnitude of the improvement was highly dependant on the LV pacing site. The coronary sinus approach rarely offers more than 1 or 2 potential pacing sites. Resynchronisation using a transeptal approach to pace the left ventricle on the cardiology has been shown feasible on small series. We therefore would like to compare these two approached in a randomised prospective study to confirm the hypotheses that endocardial LV pacing by offering multiple choices for the pacing sites reduces the number of non responders and is associated with greater hemodynamic benefit when compared to the conventional coronary sinus approach. ...
Relation between maximum time-varying elastance pressure-volume areas and myocardial oxygen consumption in dogs. | Circulation
To establish whether pressure-volume areas (PVAs) calculated using the maximum time-varying elastance (Emax) have a relation with myocardial oxygen consumption (MVO2) that improves on other indexes of myocardial oxygen demand, we studied nine dogs of either sex weighing 19-39 kg, which were instrumented with a micromanometer left ventricular (LV) catheter and a Wilton-Webster coronary sinus flow catheter and had red blood cells tagged with technetium-99m for radionuclide angiography. Hemodynamics, coronary sinus flow determinations, and radionuclide angiograms were obtained under control conditions and during three to five steady-state loading conditions (mean +/- SD, 5.6 +/- 0.7). Isochronal pressure-volume data points from each pressure-volume loop were subjected to linear regression analysis to calculate Emax. The Emax relations, diastolic curves, and systolic portions of each pressure-volume loop were used to obtain calibrated PVAs. The Emax PVA (mm Hg.ml.beat-1.100 g-1) and MVO2 (ml ...
P-101 P-101. Repositon of the coronary sinus lead causing stimulation of the phrenic nerve through femoral route - PDF
Pacemaker Pacemaker P-0 Frenik sinir stimülasyonuna neden olan koroner sinüs leadinin femoral yoldan repozisyonu Fethi Kılıçaslan, Ömer Uz, Alptuğ Tokatlı, Zafer Işılak, Mehmet Uzun, Bekir Yılmaz Cingözbay,
Significance of jet lavage for in vitro and in vivo cement penetration. These guidewires allow the lead to advance easily to the coronary sinus branches. Column в size l0. See BCSC Section 4, Ophthalmic Buy Ladygra and Intraocular Tumors, for more details of the features Buy Ladygra cellular atypia and neoplastic change.
Patent US7717954 - Device and method for treatment of mitral insufficiency - Google Patents
A device for treatment of mitral annulus dilatation comprises an elongate body having two states. In a first of these states the elongate body is insertable into the coronary sinus and has a shape adapting to the shape of the coronary sinus. When positioned in the coronary sinus, the elongate body is transferable to the second state assuming a reduced radius of curvature, whereby the radius of curvature of the coronary sinus and the radius of curvature as well as the circumference of the mitral annulus is reduced.
Coronary sinus definition, a large venous channel in the heart wall that receives blood via the coronary veins and empties into the right atrium. See more.
Concentrations of angiotensin II, endothelin-1, and BNP in the coronary sinus and ascending aorta of patients with heart...
Concentrations of angiotensin II, endothelin-1, and BNP in the coronary sinus and ascending aorta of patients with heart disease ...
By Blocking Coronary Sinus, Miracors PICSO System Targets Myocardial Blush; Gets CE Marked | Medgadget
Miracor Medical Systems out of Vienna, Austria has announced that its Pressure-controlled Intermittent Coronary Sinus Occlusion (PICSO) Impulse System has
Repair Parity Error Detected On Coil Tutorial
If the error occurs frequently, request an RMA in order to replace the 6148A module, and mark the module for EFA.%LTL-SP-2-LTL_PARITY_CHECK: LTL parity check request for 0x[hex]ExplanationThis is the result of The outputs of the atrial and ventricular sensing circuits, 82 and 84, are connected to the microcontroller 60 which, in turn, are able to trigger or inhibit the atrial and ventricular No. 4,788,980 (Mann et al.). See the illustration on the side access panel for the correct memory configurations, and reseat the DIMMs accordingly. 216-Memory Size Exceeds Maximum Supported The amount of memory installed exceeds that supported The error is thus corrected and processing returns to FIG. 3. As used herein, the phrase coronary sinus region refers to the vasculature of the left ventricle, including any portion of the coronary sinus, great cardiac vein, left marginal vein, left posterior The switch was still under warranty from the used hardware > reseller, so the blade was replaced. Imprecise ...
Cardiac veins, smallest synonyms, cardiac veins, smallest antonyms - FreeThesaurus.com
Synonyms for cardiac veins, smallest in Free Thesaurus. Antonyms for cardiac veins, smallest. 63 synonyms for vein: blood vessel, mood, style, spirit, way, turn, note, key, character, attitude, atmosphere, tone, manner, bent, stamp, humour, tendency.... What are synonyms for cardiac veins, smallest?
What is the function of the small cardiac vein? | Reference.com
The function of the small cardiac vein is to retrieve blood from the vascular tissues of the heart and drain them into the coronary sinuses, according to anatomyExpert. This process ensures that the...
The Challenge of Medical Device Advisories | Medpage Today
But theres always one point of a surgical procedure that grabs the doctors gonads, and for device implants, its usually gaining access to the blood vessel where the leads for a pacemaker or defibrillator are to be implanted. You see, poke too deeply, you might hit the patients lung. Poke a half a centimeter higher toward the patients head, you might hit the high-pressure artery rather than the low pressure vein and bleeding will compress the target vein, making it very difficult to cannulate. Dont poke deeply enough, you never get in the vessel. Thats the way these procedures go. (Ive already mentioned that I cheat and use a vascular ultrasound device to find the vessel. I mean, why stress, right ...
How would you trace blood from the small cardiac vein to the posterior inter ventricular artery?
Find right answers right now! How would you trace blood from the small cardiac vein to the posterior inter ventricular artery? More questions about Health, how
Aortic spindle | Radiology Case | Radiopaedia.org
The appearance of the proximal descending aorta reflects an aortic spindle - this is an anatomical variant where there is a smooth, mild bulge just beyond the aortic isthmus.
Larger coronary sinus diameter predicts the need for epicardial delivery during mitral isthmus ablation. - Radcliffe Department...
AIMS: Mitral isthmus ablation is technically challenging, often requiring both endocardial and epicardial coronary sinus (CS) ablation. Blood flow in the CS and circumflex artery may act as a heat sink and reduce the efficacy of radiofrequency ablation. This study investigates how the CS and circumflex artery diameters affect mitral isthmus ablation. METHODS AND RESULTS: Thirty-five patients underwent ablation for atrial fibrillation. Irrigated-tip catheters were used during mitral isthmus ablation with the following settings: endocardial surface (maximum power: 40-50 W at the annular end of line; maximum temperature: 48°C); CS (maximum power: 25-30 W; maximum temperature: 48°C). The absence of block after 10 min of endocardial ablation led to CS ablation for up to 5 min. If there was still no block, further ablation was at the discretion of the physician. Coronary angiography and CS venography were performed and analysed with quantitative coronary angiography. Mitral isthmus block was achieved in
Cardiac resynchronization therapy - Wikipedia
This is generally performed subsequent to RV lead placement, with the RV lead providing a backup in case of accidental damage to the electric fibers of the heart, causing an asystolic event. As with the RV lead, a guide wire is first inserted, allowing for the insertion of a multi-delivery catheter. The catheter is subsequently maneuvered to the opening of the coronary sinus in the right atrium. From here a contrast media is injected, allowing the surgical team to obtain a coronary sinus phleobogram to direct the placement of the lead into the most suitable coronary vein.. Once the phlebogram has been obtained, the multi-delivery catheter is used to guide in the lead, from the chosen vein of entry, into the right atrium, through the coronary sinus and into the relevant cardiac vein.. Left ventricular lead placement is the most complicated and potentially hazardous element of the operation, due to the significant variability of coronary venous structure. Alterations in heart structure, ...
A successful percutaneous treatment of a iatrogenic anastomosis between internal mammary artery and great cardiac vein [Anatol...
zcan Ba aran, Ahmet G ler, Can Y cel Karabay, Cevat K rma. A successful percutaneous treatment of a iatrogenic anastomosis between internal mammary artery and great cardiac vein. Anatol J Cardiol. 2013; 13(2): E10- ...
Finding the Sweet Spot for CRT | JACC: Cardiovascular Imaging
Heart failure patients with left ventricular (LV) ejection fractions of ,35% who are on optimal medical therapy with QRS durations of ≥120 ms on surface electrocardiography have derived clinical benefit from cardiac resynchronization therapy (CRT). Although this well-established and guideline-recommended treatment has shown reductions in heart failure progression and risk for ventricular tachyarrhythmias, there are also shortcomings. Nearly one-third of patients with CRT implants fail to show clinical benefit. Although potential explanations for the lack of response to CRT may be multifactorial, one of the most important prerequisites for successful CRT is proper LV lead placement. And that can be technically challenging.. LV lead placement to deliver CRT typically involves cannulating the coronary sinus, performing coronary venous angiography, selecting a target vein, and advancing the pacing lead into the selected vein to achieve adequate resynchronization. Although it is still an evolving ...
RePub, Erasmus University Repository: Alternative Method for Cardiac Resynchronization: Transapical Lead Implantation
Alternative methods are necessary for cardiac resynchronization therapy when coronary sinus lead implantation fails. We aim to describe a fundamentally new approach using transapical implantation of an active fixation endocardial pacing lead. This technique is based on direct puncture of the left ventricular apex using the standard Seldinger technique. The tip of the lead is positioned with intracavital navigation under fluoroscopy. This method offers advantages for cardiac resynchronization because it is minimally invasive, provides endocardial pacing, and does not involve the mitral valve. ...
073 16806-K1 Use of Dynamic Coronary Roadmap for Positioning Left Ventricular Lead : First Case Report | JACC: Clinical...
Dynamic Coronary Roadmap (DCR) is a navigation support package that allows the users to see a roadmap of the coronary anatomy displayed on live fluoroscopy. By comparing moving structures that are present in both the angiogram and the live fluoroscopy images, with image registration techniques, DCR provides a precise overlay of the coronary vessel tree on top of the live fluoroscopy moving exactly with the cardiac and breathing motion. This same technique can also be used for imaging the coronary venous anatomy for guiding left ventricular lead placement. ...
Effects of propranolol on the hemodynamic, coronary sinus blood flow and myocardial metabolic response to atrial pacing
The hemodynamic, coronary sinus blood flow and myocardial metabolic effects of 0.15 mg/kg body weight of intravenously administered propranolol were studied in 19 patients with coronary artery disease and 6 normal patients. Atrial pacing was performed in all patients and produced angina in 15 of the …
Cardiac vein, middle | definition of cardiac vein, middle by Medical dictionary
Looking for online definition of cardiac vein, middle in the Medical Dictionary? cardiac vein, middle explanation free. What is cardiac vein, middle? Meaning of cardiac vein, middle medical term. What does cardiac vein, middle mean?
US7731715B2 - Ablative treatment of atrial fibrillation via the coronary sinus - Google Patents
Ablation instruments and techniques are disclosed for accessing portions of the heart wall via the coronary sinus. While shielding the major portion of the sinus and/or the circumflex coronary artery from ablative energy, the present invention provides access to the heart wall to treat atrial fibrillation. In particular, the present invention provides instruments and methods for forming transmural lesions in the left atrium, such as the so-called
Patent US6445958 - Steerable coronary sinus defibrillation lead - Google Patents
An implantable defibrillation lead with steerable characteristics, allowing the lead to be more easily placed within the coronary sinus. The lead comprises an elongated lead body having a proximal end and a distal end. Adjacent the distal end, there is an electrode, preferably a coiled defibrillation electrode placed on the exterior of the elongated lead body. The distal end of the lead body has a permanent set or bend. A torque tube, extending through a lumen in the lead body from the proximal end of the lead to an anchor block adjacent the distal end of the lead, can be rotated by a physician to orient the bend in the lead. A cable passes through the torque tube from the proximal end of the lead through the anchor block to the distal end of the lead. This cable is affixed to a wall of the lumen, preferably in the direction of the bend. Pulling on the cable temporarily changes the bend in the distal end of the lead.
Acute Effects of Dual-Site Right Atrial Pacing in Patients With Spontaneous and Inducible Atrial Flutter and Fibrillation |...
All studies were performed in the electrophysiology laboratory. Patients were premedicated with meperidine or diazepam before the procedure. All antiarrhythmic drugs were discontinued for a minimum of five drug half-lives before the procedure. Standard multipolar catheters with 1-cm interelectrode distance were used for pacing and recording of intracardiac electrograms. These were positioned at the high right atrium, His bundle and right ventricular apex. A fourth catheter was positioned in the coronary sinus with one of the electrodes located at the coronary sinus ostium. Stimulation was performed with rectangular impulses using an EP-2 stimulator (EP Medical Inc.). A standard multichannel recorder was used for hardcopy recording. Three surface electrocardiographic (ECG) leads (I, aVF and V1) were recorded at all times. The intracardiac signals were filtered at a bandpass of 30 to 500 Hz and stored on FM tape. The pacing threshold was determined at the high right atrium and coronary sinus ...
US20100114114A1 - Coronary vein navigator - Google Patents
A system and method for navigating coronary vasculature involves use of a guide catheter system which includes a guide catheter, a navigator catheter longitudinally displaceable within the guide catheter, and a deflection arrangement provided at a distal end of the navigator catheter. The guide catheter is advanced to at least a patients coronary sinus ostium, and the navigator catheter is extended from the guide catheter to a location proximate or within an angled vein distal to the coronary sinus ostium. Using the deflection arrangement, a guide wire passing through the navigation catheter is directed into the angled vein. A lead having an open lumen is advanced over the guide wire to direct the lead to an implant site within the angled vein.
Thebesian circulation definition | Drugs.com
Definition of thebesian circulation. Provided by Stedmans medical dictionary and Drugs.com. Includes medical terms and definitions.
Sinus ostium - Wikipedia
A sinus ostium is the opening that connects a sinus to the nasal cavity itself. It is a tight area that tends to have a higher percentage of cilia than the surrounding mucosa. If the sinus ostium is blocked this will cause an accumulation of fluid in the sinus ...
Prolonged Maintenance of Coronary Sinus Catheters in Dogs for the Study of Myocardial Metabolism | Anesthesiology | ASA...
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Triggered and automatic activity in the canine coronary sinus. | Circulation Research
Thank you for your interest in spreading the word on Circulation Research.. NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address. ...
Any good cardiac coders to help me???
My anesthesiologist placed a coronary sinus catheter. I rarely see this when I code, so I am stuck on which CPT code to use. Any good cardiac coders w
Anatomical repair of a persistent left superior vena cava into the left atrium<...
TY - JOUR. T1 - Anatomical repair of a persistent left superior vena cava into the left atrium. AU - Ugaki, Shinya. AU - Kasahara, Shingo. AU - Fujii, Yasuhiro. AU - Sano, Shunji. PY - 2010/8. Y1 - 2010/8. N2 - The anatomy of a persistent left superior vena cava (SVC) to the left atrium (LA) without the innominate vein can make it challenging to complete intracardiac repair. We reviewed our five cases of the direct end-to-side anastomosis of SVCs to facilitate anatomical repair of SVC-right atrial connection for biventricular repair. Diagnoses were two partial atrioventricular septal defect with left isomerism, one complete atrioventricular septal defect (CAVSD) with left isomerism, one CAVSD without isomerism and one atrioventricular discordance and double outlet right ventricle with right isomerism. Mean age at the operation was 20±23 months (4-58 months) and body weight was 7.8±3.4 kg (4.8-12.7 kg). After completion of intracardiac repair, the SVC to LA was divided and end-to-side ...
Persistent Left Superior Vena Cava:Unusual Catheter Position on Chest X-ray Film | Anesthesiology | ASA Publications
CONGENITAL anomalies of the great veins of the neck are relatively infrequent. Persistent left superior vena cava (PLSVC) is an embryologic remnant of the left superior cardinal vein seen in 0.1 to 0.3% of healthy adults.1 PLSVC runs between the left pulmonary veins and the left atrial appendage enlarging the coronary sinus as it enters the atrium. When present, it can affect placement of central catheters, pacemakers, and cardiopulmonary bypass. It is important to be aware of this variation and to recognize it in imaging studies ...
Concomitant Persistent Left Superior Vena Cava and Horseshoe Kidney
Persistent left superior vena cava (PLSVC) and horseshoe kidney (HSK) are common congenital abnormalities; however presence of both in the same person is extremely rare. A patient with hepatitis C cirrhosis awaiting transplant presented with worsening liver dysfunction, diagnosed with acute renal failure secondary to hepatorenal syndrome, and required X-ray fluoroscopy guided tunneled venous catheter placement for hemodialysis. Review of imaging studies demonstrated coexistence of PLSVC and HSK. PLSVC in adulthood is usually incidental with the most common drainage pattern being without physiologic dysfunction. Isolated horseshoe kidney is still the most common of renal fusion anomalies; however etiology of coexistent PLSVC remains unknown.
Procedural success of left ventricular lead placement for cardiac resynchronization therapy: A meta-analysis - Physiology,...
© 2016 American College of Cardiology Foundation. Published by Elsevier. Objectives The goal of this study was to assess the contemporary and historical success rates of transvenous left ventricular (LV) lead placement for cardiac resynchronization therapy (CRT), their change over time, and the reasons for failure. Background In selected patients, CRT improves morbidity and mortality, but the placement of the LV lead can be technically challenging. Methods A literature search was used to identify all studies reporting success rates of LV lead placement for CRT via the coronary sinus (CS) route. A total of 164 studies were identified, and a meta-analysis was performed. Results The studies included 29,503 patients: 74% (95% confidence interval [CI]: 72% to 76%) were male; their mean age was 66 years (95% CI: 65 to 67); their mean New York Heart Association functional class was 2.8 (95% CI: 2.7 to 2.9); the mean LV ejection fraction was 26% (95% CI: 25% to 28%); and the mean QRS duration was 155 ms (95%
A review of mitral isthmus ablation. - Radcliffe Department of Medicine
Mitral isthmus ablation forms part of the electrophysiologists armoury in the catheter ablation treatment of atrial fibrillation. It is well recognised however, that mitral isthmus ablation is technically challenging and incomplete ablation may be pro-arrhythmic, leading some to question its role. This article first reviews the evidence for the use of adjunctive mitral isthmus ablation and its association with the development of macroreentrant perimitral flutter. It then describes the practical techniques of mitral isthmus ablation, with particular emphasis on the assessment of bi-directional mitral isthmus block. The anatomy of the mitral isthmus is also discussed in order to understand the possible obstacles to successful ablation. Finally, novel techniques which may facilitate mitral isthmus ablation are reviewed.
Left Ventricular Lead Position and Clinical Outcome in the Multicenter Automatic Defibrillator Implantation Trial-Cardiac...
Although CRT is now an accepted therapeutic modality for patients with HF and conduction disturbances, a significant proportion of patients remain nonresponders.1 Our study shows that LV lead location may be a significant contributor to this nonresponsiveness and that pacing the apical region of the LV is associated with a worse clinical outcome, including significantly higher mortality rates. Our results also demonstrate that LV lead location along the short axis (ie, anterior, lateral, or posterior wall) does not influence the primary end points of HF hospitalization and all-cause mortality. This is the first study from a randomized clinical trial to examine the impact of LV lead location on clinical outcome in which venous angiography and LV lead position data were collected prospectively and evaluated independently.. Prior work has recommended that targeting the lateral or posterolateral wall by way of either an appropriate coronary sinus branch or surgical (epicardial) placement is a ...
Right-sided infective endocarditis with coronary sinus vegetation | BMC Cardiovascular Disorders | Full Text
Infective endocarditis (IE) is a rare disease with high mortality. Right-sided IE accounts for 5-10% of cases of IE. The tricuspid valve is most commonly affected, oppositely in coronary sinus (CS). The diagnoses, treatments and outcomes of CS vegetation has not been summarized yet. We present a 71-year-old man complained of cough and fever. Transthoracic echocardiography revealed the aneurysmal dilated CS with the band medium-echo mobile structure. A sinus venosus atrial septal defect has been detected. He had a persistent left superior vena cava which drained the right atrium via the aneurysmal dilated CS. Blood cultures were positive for Staphylococcus aureus. After intravenous antibiotic therapy, he had the symptom of dyspnea. The suspicious diagnosis is recurrent septic lung emboli which was confirmed by thoracic contrast enhanced computed tomography. The thoracotomy was performed to repair the atrial septum and remove the CS vegetation. Ten days later, the patient was discharged with only mild
Combining Myocardial Strain and Cardiac CT to Optimize Left Ventricular Lead Placement in CRT Treatment - Full Text View -...
For patients with advanced heart failure, Cardiac Resynchronization Therapy (CRT) has been a major improvement. The treatment improves symptoms and prolongs life in selected patients with heart failure. However, with the current selection criteria and methods for implanting the pacemaker, only 60-70% of the patients derive significant benefit from the treatment.. New imaging techniques, including advanced ultrasound and computed tomography, in combination with new versatile multi-pole electrodes, have made an individually tailored therapy possible. Using these techniques in combination, the study will investigate the effect of individually based optimal placement of the pacemaker electrodes vs. standard care. The optimal LV electrode position is defined as pacing a viable segment with the latest mechanical delay, targeting a specific segment of the coronary sinus as visualised on cardiac CT. The hypothesis is that this will increase the number of positive responders from 65% to 85%. ...
EURORAD - Radiologic Teaching Files
A 6 month od baby with Wolfgang-Gollop syndrome was catheterized before surgery for tetralogy of Fallot. Echocardiography had revealed bilateral superior vena cava with LSVC draining into a dilated coronary sinus. In order to assess the need for canulating or ligating the persistent left superior vena cava (LSVC) at time of surgery, we inserted an 5 Fr end-hole catheter into the LSVC via the right atrium and coronary sinus. It was then advanced into the left azygos vein and angiography performed. A large communicating vein connecting the 2 asygos veins was seen beind the heart. Persistent LSVC has been described in tetralogy of Fallot. In our case, although no classical communicating wein could be found by echocardiography, selective angiography revealed a peculiar communication between bilateral azygos veins. The baby underwent successful surgical repair with no need for left superior vena cava cannulation during cardiopulmonary bypass ...
Stimolazione VDD monocatetere con sensing in seno coronarico: Un caso di impianto attraverso vena cava superiore sinistra...
TY - JOUR. T1 - Stimolazione VDD monocatetere con sensing in seno coronarico. T2 - Un caso di impianto attraverso vena cava superiore sinistra persistente. AU - Bielli, M.. AU - Parravicini, U.. AU - Zanetta, M.. AU - Mezzani, A.. AU - Zenone, F.. AU - Franchetti, N.. AU - Di Camillo, T.. AU - Iraghi, G.. AU - Perucca, A.. PY - 2000. Y1 - 2000. N2 - We report the case of a VDD single-lead pacemaker implantation through a persistent left superior vena cava in a 48-year-old male patient with recurrent episodes of syncope due to paroxysmal atrioventricular block. VDD lead insertion through the anomalous venous structure led to positioning of the floating sensing dipole into the coronary sinus, in a very large and stable sensed atrial signal due to the close anatomic relationship between the coronary sinus and the left atrium. Shortness of the sensed atrioventricular interval allowed VDD stimulation to occur only in the case of paroxysmal atrioventricular block.. AB - We report the case of a VDD ...
Malformations.org - View a developmental anomaly
Definition: In PLSVC, the left brachiocephalic vein does not develop fully and the left upper limb and head & neck drain into the right atrium via the coronary sinus. However, from a morphological point of view, the anatomical drainage of a persistent left superior vena cava is always into the coronary sinus. ...
ASYMMETRIC VENTRICLES - LV SMALLER THAN RV - CO-ARCTATION OF AORTA | Looking Through a Transducer
Asymmetric ventricles , with left ventricle smaller than right is seen occasionally. The following conditions should be thought of : 1. Co-arctation of Aorta 2. T.A.P.V.D. - Total Anomalous Pulmonary Venous Drainage ( or Connections ) 3.Persistent Left Superior Vena Cava 4.Dilated Coronary Sinus and rarely due to 5. Restricted Ductal Flow due to kinking…
ASYMMETRIC VENTRICLES - LV SMALLER THAN RV - CO-ARCTATION OF AORTA | Looking Through a Transducer
Asymmetric ventricles , with left ventricle smaller than right is seen occasionally. The following conditions should be thought of : 1. Co-arctation of Aorta 2. T.A.P.V.D. - Total Anomalous Pulmonary Venous Drainage ( or Connections ) 3.Persistent Left Superior Vena Cava 4.Dilated Coronary Sinus and rarely due to 5. Restricted Ductal Flow due to kinking…
Electrophysiological characteristics of atrial tachycardia originating from the coronary sinus
A 22-year-old girl was admitted to our cardiology institute with Permanent tachycardia in last 6 years for diagnostic assessment and therapy. Doppler echocardiography show structural of heart is normal, ECG revealed a varied resting rate from 120 to 140 bpm, 1:1 AV ratio and long RP interval. P wave morphology was negative on leads I, II, III, aVF, and V4 to V6, positive on lead V1, and diphasic 1 /2 on lead aVL. Electrophysiology (EP) study was performed, Although the exactly mapping was performed in left inferior pulmonary vein and mitral annulus, however, no target point was found ahead of CS1-2, the tried discharge was invalid. The ablation catheter was entered the coronary sinus to guide electrical isolation, curing the tachycardia. The ECG returned to normal sinus rhythm. Through three years follow up, no AT recurrence.
Brevet US6800090 - Mitral valve therapy device, system and method - Google Brevets
An assembly and method for effecting the condition of a mitral valve annulus of a heart includes a guide wire configured to be fed into the coronary sinus of the heart, and a mitral valve annulus therapy device configured to be slidingly received on the guide wire and advanced into the coronary sinus of the heart on the guide wire. A guide tube may further be employed for guiding the device into the coronary sinus. An introducer which may be employed for pushing the device into or pulling device out of the heart has a mechanism for releasably locking to the device. This enables substitution of the device if needed. Also, the crossover point of the circumflex artery and coronary sinus may be determined and avoided when the device is deployed.
Erondu-Cymet Syndrome, 978-620-0-83887-2, 6200838879 ,9786200838872
Erondu-Cymet Syndrome, 978-620-0-83887-2, Please note that the content of this book primarily consists of articles available from Wikipedia or other free sources online. Erondu-Cymet syndrome is a syndrome caused by a translocation on the . The genetic for people with this condition is 46, XY, inv(21)(q11.2q22.1). Findings in these patients include: hypotension, hypoxemia, seizures, and impairment of cognitive ability. Patients with this condition may have persistent left superior vena cava that drains into the left atrium, as well as pulmonary arterio-venous malformations. Erondu-Cymet Syndrome was discovered in 2006 by Ugochi Erondu and . In 2000, researchers working on the announced that they had determined the sequence of that make up this chromosome. Chromosome 21 was the second human chromosome to be fully sequenced.
A Giant Circumflex Coronary Artery Aneurysm with a Fistula into the Coronary Sinus: Case Report | The Heart Surgery...
Publisher reserves the right to grant or refuse permission to third parties to republish all or part of the article or translations thereof. To republish, such third parties must obtain written permission from the Publisher. (This is in accordance with the Copyright Statute, United States Code, Title 17. Exception: If all authors were bona fide officers or employees of the U.S. Government at the time the paper was prepared, the work is a work of the US Government (prepared by an officer or employee of the US Government as part of official duties), and therefore is not subject to US copyright; such exception should be indicated on signature lines. If this work was prepared under US Government contract or grant, the US Government may reproduce, royalty-free, all or portions of this work and may authorize others to do so, for official US Government purposes only, if the US Government contract or grant so requires.. I have participated in the conception and design of this work and in the writing ...
PFO Closure: anatomical variants and implications for choice of procedure, success rates and complications LM Shapiro....
6 ASSESSMENT OF PFO Characterisation Tunnel length / height / width Flap separation / adhesion - RA/LA edge, body Flap retraction - spontaneous / potential Tunnel openings PFD (patent foramen defect)- ASD structurally merged with PFO or PFO with functional ASD ...
Venablock Varicose Vein Device | RD Global
Treatment is simply delivering cyanoacrylate inside of disfunctioning vein segment continuously while applying pressure over target vein segments.
Internet Scientific Publications
Despite the enthusiasm behind the use of ultrasound to facilitate central venous access, little data exists regarding best practice. Likely, the most popular technique of using ultrasound is the real-time, out-of plane approach in which the IJ is imaged on short-axis. This technique has the distinct limitation in that the needle will cross the ultrasound beam only once, resulting in a short axis cut of the needle. This image may not represent the tip of the needle, but rather the shaft of the needle. If the operator chooses an angle of insertion in which the needle crosses the ultrasound beam posterior to the vein, then they will never see the needle prior to puncture of the vein. Further, in the out-of-plane approach, the operator can have challenges in determining whether the needle is too far lateral or medial with respect to the target vein. These issues are compounded by the tendency of the operator to advance the needle when it is not visualized on the screen (7). With the out-of-plane ...
Congenital Problems of the Gastrointestinal Tract | Abdominal Key
Fig. 3.1 Common anatomical variants of EA/TEF anomalies. a EA with distal TEF, b isolated EA with no TEF, c H-type TEF, d proximal and distal TEF, e EA with proximal TEF. (Reprinted with permission from , Fig. 2.1. EA esophageal atresia, TEF trache-esophageal fistula) Table 3.1 Classification of EA/TEF anomalies and frequency. (Reprinted with permission…
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Cardiac resynchronization therapy
Inability to cannulate coronary sinus (approximately 5% of patients). *Myocardial perforation, pneumothorax and infection, all ... The catheter is subsequently maneuvered to the opening of the coronary sinus in the right atrium. From here a contrast media is ... Right ventricular access is direct, while left ventricular access is conferred via the coronary sinus (CS). ... the surgical team to obtain a coronary sinus phleobogram to direct the placement of the lead into the most suitable coronary ...
Adam Christian Thebesius
Thebesian valve: The valve of the coronary sinus. Mettenleiter, A (2001). "Adam Christian Thebesius (1686-1732) and the ... Thebesius is known for his studies of coronary circulation. In his 1708 graduate thesis, De circulo sangunis in corde (On the ...
Smallest cardiac veins
... and into the coronary sinus. The coronary sinus empties into the right atrium. The openings of the smallest cardiac veins are ... Wearn, JT (1941). "Morphological and functional alterations of the coronary circulation". Bulletin of the New York Academy of ... Wearn, JT; Mettier, SR; Klumpp, TG; Zschiesche, LJ (1933). "The nature of the vascular communications between the coronary ... Blake, HA; Manion, WC; Mattingly, TW; Baroldi, G (1964). "Coronary artery anomalies". Circulation. 30: 927-40. doi:10.1161/01. ...
Great cardiac vein
It merges with the oblique vein of the left atrium to form the coronary sinus, which drains into the right atrium. At the ... This is the Vieussens valve of the coronary sinus. It receives tributaries from the left atrium and from both ventricles: one, ... The great cardiac vein (left coronary vein) begins at the apex of the heart and ascends along the anterior longitudinal sulcus ... junction of the great cardiac vein and the coronary sinus, there is typically a valve present. ...
Artificial cardiac pacemaker
... and a coronary sinus lead (red arrow). The coronary sinus lead wraps around the outside of the left ventricle, enabling pacing ... Bypass/Coronary artery bypass MIDCAB. Off-pump CAB. TECAB. Coronary stent. Bare-metal stent. Drug-eluting stent. *Bentall ... or the coronary sinus, depending on the type of pacemaker required. Surgery is typically completed within 30 to 90 minutes ... and another passing through the vena cava and the right atrium and inserted through the coronary sinus to pace the epicardial ...
A small amount of blood from the coronary circulation also drains into the right atrium via the coronary sinus, which is ... These are the left main coronary artery and the right coronary artery. The left main coronary artery splits shortly after ... Main articles: Coronary artery disease, Coronary artery bypass surgery, and Coronary stent ... venae cavae, coronary sinus) → right atrium (atrial appendage, fossa ovalis, limbus of fossa ovalis, crista terminalis, valve ...
Who's Your Daddy? (House)
They freeze the damaged muscle which is near the coronary sinus. As the muscle has been destroyed, House says 'She'll be fine ...
Aortic valve replacement
... a Valsalva sinus. The origins of the two coronary arteries are sited in two Valsalva sinuses, each named after the coronary ... Alternatively, a retrograde cardioplegic cannula can be inserted at the coronary sinus. Some surgeons also opt to place a vent ... Patients with moderate aortic valve stenosis who need another type of cardiac surgery (i.e. coronary artery bypass surgery) ... The surgeon incises the aorta a few milometers above the sinotubular junction (just above the coronary ostia, where the ...
... right and posterior aortic sinuses are also called left-coronary, right-coronary and non-coronary sinuses. The aortic arch ... which are called the aortic sinuses or the sinuses of Valsalva. The left aortic sinus contains the origin of the left coronary ... The posterior aortic sinus does not give rise to a coronary artery. For this reason the left, ... artery and the right aortic sinus likewise gives rise to the right coronary artery. Together, these two arteries supply the ...
Anterior cardiac veins
Unlike most cardiac veins, they do not end in the coronary sinus. Instead, these veins drain directly into the anterior wall of ...
... right and posterior aortic sinuses are also called left-coronary, right-coronary and non-coronary sinuses.:191 ... which are called the aortic sinuses or the sinuses of Valsalva. The left aortic sinus contains the origin of the left coronary ... Combination of coronary sinus, superior vena cava and inferior vena cava. Supplies. The systemic circulation. (entire body with ... The posterior aortic sinus does not give rise to a coronary artery. For this reason the left, ...
The coronary veins all empty into the coronary sinus which empties into the right atrium. The dural venous sinuses within the ... Most of the blood of the coronary veins returns through the coronary sinus. The anatomy of the veins of the heart is very ... heart veins that go into the coronary sinus: the great cardiac vein, the middle cardiac vein, the small cardiac vein, the ... Coronary veins carry blood with a poor level of oxygen, from the myocardium to the right atrium. ...
Sean P. Pinney
Woollett, IF; Pinney, S; Magnano, AR (2005). "Balloon dilatation of coronary sinus spasm during placement of a biventricular ... Pinney, SP; Wasserman, HS (2002). "Anterior myocardial infarction, acute aortic dissection and anomalous coronary artery". J. ... "Anti-HLA antibodies are associated with restenosis after percutaneous coronary intervention for cardiac allograft vasculopathy ...
Common cardinal veins
Part of the left common cardinal vein persists after birth to form the coronary sinus. Figure obtained by combining several ... The common cardinal veins, also known as the ducts of Cuvier, are veins that drain into the sinus venosus during prenatal ...
Middle cardiac vein
... and ends in the coronary sinus near its right extremity. The middle cardiac vein has a constant location on the surface of the ... Coronary Sinus Lead Implantation", Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy (Fifth Edition), ...
The right atrium receives deoxygenated blood through coronary sinus and two large veins called venae cavae. The inferior vena ...
Cardiac resynchronization therapy
Right ventricular access is direct, while left ventricular access is conferred via the coronary sinus (CS). CRT defibrillators ...
... contain a sinus called an aortic sinus or sinus of Valsalva. In two of these cusps, the origin of the coronary arteries are ... They may be called the left coronary, right coronary and non-coronary cusp. Some sources also advocate they be named as a left ... It is these two sinuses that contain the origin of the coronary arteries. In the congenital disease known as transposition of ... Anatomists have traditionally named them the left posterior (origin of left coronary), anterior (origin of the right coronary) ...
Apart from Bachmann's bundle these are the anterior interatrial septum, posterior interatrial septum, and the coronary sinus. ... The concentration of converging conduction tracts near the coronary sinus results in considerable automaticity activity ... converging in the region near the coronary sinus. Atrial automaticity foci are within the atrial conduction system. ... Bundle of His James, Thomas N. (1 October 1963). "The connecting pathways between the sinus node and A-V node and between the ...
The heart also has a coronary sinus valve, and an inferior vena cava valve, not discussed here. The heart valves and the ... The Aortic Valve and Aortic Sinuses" Curtis, M. J. (1992-07-01). "The Heart and Cardiovascular System". Cardiovascular Research ...
Persistent left superior vena cava
September 2004). "Persistent left superior vena cava draining into the coronary sinus: report of 10 cases and literature review ... neck drain into the right atrium via the coronary sinus. In isolation, the variation is considered benign, but is very ...
Small cardiac vein
The small cardiac vein may drain to the coronary sinus, right atrium, middle cardiac vein, or be absent. This article ... The small cardiac vein, also known as the right coronary vein, is a coronary vein that drains the right atrium and right ... and opens into the right extremity of the coronary sinus. The small cardiac vein receives blood from the posterior portion of ... The small cardiac vein runs in the coronary sulcus between the right atrium and right ventricle, ...
It seems that it moves in a radial way, but Bachmann's bundle and coronary sinus muscle play a role in conduction between the ... 1998). "Electrical Conduction Between the Right Atrium and the Left Atrium via the Musculature of the Coronary Sinus". ... Blood is flowing into the right atrium from the superior and inferior venae cavae and the coronary sinus. Blood flows into the ... inferior vena cava and from the coronary sinus and pump it, through the tricuspid valve, via the right ventricle, through the ...
Artificial cardiac pacemaker
... and a coronary sinus lead (red arrow). The coronary sinus lead wraps around the outside of the left ventricle, enabling pacing ... and another passing through the vena cava and the right atrium and inserted through the coronary sinus to pace the epicardial ... sinus node disease (SND) or sick sinus syndrome. Where the problem is atrioventricular block (AVB) the pacemaker is required to ... Often, for patients in normal sinus rhythm, there is also a lead in the right atrium to facilitate synchrony with the atrial ...
Tarlochan Singh Kler
Persistent left superior vena cava opening directly into right atrium and mistaken for coronary sinus during biventricular ... "Persistent left superior vena cava opening directly into right atrium and mistaken for coronary sinus during biventricular ... "Mammary coronary artery anastomosis without cardiopulmonary bypass through minithoracotomy: one year clinical experience" (PDF ... pacemaker implantation, Mammary coronary artery anastomosis without cardiopulmonary bypass through minithoracotomy: one year ...
This triangle ends at the site of the coronary sinus orifice inferiorly and, continuous with the sub-Eustachian pouch. The ... which its boundaries are the coronary sinus orifice, tendon of Todaro, and septal leaflet of the right atrioventricular valve. ...
The Beck II operation came about in the late 1940s, which created a vein graft between the aorta and coronary sinus. In 1947, ...
The heart, including coronary artery aneurysms, ventricular aneurysms, aneurysm of sinus of Valsalva, and aneurysms following ... as a result of percutaneous surgical procedures such as coronary angiography or arterial grafting, or use of an artery for ... "Application of Patient-Specific Computational Fluid Dynamics in Coronary and Intra-Cardiac Flow Simulations: Challenges and ...
No increase in myocardial lactate production in coronary sinus blood has been seen, confirming the absence of myocardial ... ischemia due to coronary steal. Clevidipine is rapidly metabolized by esterases in the blood and extravascular tissues. ...
venae cavae, coronary sinus) → right atrium (atrial appendage, fossa ovalis, limbus of fossa ovalis, crista terminalis, valve ... valve of coronary sinus) → tricuspid valve → right ventricle (infundibulum, moderator band/septomarginal trabecula, crista ... pulmonary veins) → left atrium (atrial appendage) → mitral valve → left ventricle → aortic valve (aortic sinus) → (aorta and ...
Aneurysm of sinus of Valsalva. *Aortic dissection. *Coronary artery aneurysm. *head / neck *Intracranial aneurysm ...
Hypertensive kidney disease
Aneurysm of sinus of Valsalva. *Aortic dissection. *Aortic rupture. *Coronary artery aneurysm ...
... sinus infections, and worsening of previous health problems such as asthma or heart failure. ... and influenza may cause worsening of coronary heart disease or congestive heart failure. Smoking is another risk factor ...
Sinus tachycardia, which originates from the sino-atrial (SA) node, near the base of the superior vena cava ... Coronary disease. *Coronary artery disease (CAD). *Coronary artery aneurysm. *Spontaneous coronary artery dissection (SCAD) ... Hyperthyroidism can also cause tachycardia. The upper limit of normal rate for sinus tachycardia is thought to be 220 bpm ... ECG showing sinus tachycardia with a rate of about 100 beats per minute. ...
2007). "Donepezil for cognitive decline following coronary artery bypass surgery: a pilot randomized controlled trial". ... severe cardiac arrhythmia and sick sinus syndrome. ...
The coronary arteries start in the right and left aortic sinus and provide blood to the heart muscle in a similar fashion to ... It then moves along the coronary groove and continues on into the tissue as interventricular branches toward the apex of the ... The deep branches of the coronary arteries found within the heart tissue are small and supply the interventricular and right ... The blood supply by the coronary arteries are fashioned starting as a large branch over the surface of the heart. ...
The most common cause of sudden death in the US is coronary artery disease. Approximately 300,000 people die suddenly of this ... sinus node) धाःगु थासं निर्धारित याइ। म्ह तच्वलं संकिबिलय्, दसु व्यायाम याइबिलय् नुगःया साइनस नोदं थःगु वैद्युतीय ज्या तच्वयेकी ... थ्व कथं छुं कारणवश नुगःया गति तःच्वैगु अवस्थायात साइनस त्याकिकार्दिया(sinus tachycardia) धाइ। अरिदमिया धाःगु अवस्थाय् असाधारण ...
Aneurysm of sinus of Valsalva. *Aortic dissection. *Coronary artery aneurysm. *head / neck *Intracranial aneurysm ... Coronary perfusion pressures are decreased by these factors, which also increase myocardial oxygen consumption, possibly ... Excessive reduction in blood pressure can precipitate coronary, cerebral, or renal ischemia and, possibly, infarction. ... preexisting diabetes or coronary artery disease, mental illness, and sedentary lifestyle. Several studies have concluded ...
හෘද රෝග - විකිපීඩියා, නිදහස් විශ්වකෝෂය
Spontaneous coronary artery dissection (SCAD). *කිරීටක ශ්යානිය (Coronary thrombosis). *Coronary vasospasm. *Myocardial bridge ... Sinus bradycardia. *Sick sinus syndrome. *Heart block: Sinoatrial. *AV *1°. *2°. *3° ...
In men, coronary disease is more frequent, while in women, high systolic blood pressure and valvular heart disease are more ... Fibrosis is not limited to the muscle mass of the atria and may occur in the sinus node (SA node) and atrioventricular node (AV ... Bramah N. Singh (2007). "Dronedarone for maintenance of sinus rhythm in atrial fibrillation or flutter". N. Engl. J. Med. 357 ( ... Diagram of normal sinus rhythm as seen on ECG. In atrial fibrillation the P waves, which represent depolarization of the top of ...
இதயம் - தமிழ் விக்கிப்பீடியா
சிரைப்பைச் சீர்த்துடிப்பு (Sinus rhythm) என்பது இதயத்தின் துடிப்புச்சீராக்கியாகிய சிரைப்பைச்சோணைக் கணுவில் தொடங்கும் சீரான ... மேற்கீழறைப் பிரிசுவரால் இதயம் பிரிக்கப்படுவது இதயத்தின் வெளிப்புறத்தில் முடியுரு வரிப்பள்ளம் (Coronary sulcus) எனும் வெட்டாகத் ...
Aneurysm of sinus of Valsalva. *Aortic dissection. *Aortic rupture. *Coronary artery aneurysm ...
"Silastic drains vs conventional chest tubes after coronary artery bypass". Chest. 124 (1): 108-13. doi:10.1378/chest.124.1.108 ... sinus. Sinusotomy. larynx. Laryngoscopy. Laryngectomy. Laryngotomy Thyrotomy. Laryngotracheal reconstruction. Lower RT. trachea ...
Vertebral artery dissection
Aneurysm of sinus of Valsalva. *Aortic dissection. *Coronary artery aneurysm. *head / neck *Intracranial aneurysm ...
The heart also has a coronary sinus valve, and a inferior vena cava valve, not discussed here. ... Anatomy photo:20:29-0104 at the SUNY Downstate Medical Center - "Heart: The Aortic Valve and Aortic Sinuses" ...
The first part is the sinus venosus, a thin-walled sac that collects blood from the fish's veins before allowing it to flow to ... In all tunas, however, the heart operates at ambient temperature, as it receives cooled blood, and coronary circulation is ... The deoxygenated blood from the body then flows through the posterior cardinal veins and enters the posterior cardinal sinuses ...
Right coronary: *SA nodal. *AV nodal. *Atrial. *Right marginal. *Posterior interventricular. *Left coronary: *Anterior ...
Q18.0) Sinus, fistula and cyst of branchial cleft *Congenital preauricular fistula: A small pit in front of the ear. Also known ... I25.4) Coronary arteriovenous fistula, acquired. *(I28.0) Arteriovenous fistula of pulmonary vessels *Pulmonary arteriovenous ... with only one open end; blind fistulas may also be called sinus tracts ...
Branches to right coronary artery and left coronary artery. Click link for more info) ...
Usually in children(age,4), it affects large, medium, and small vessels, prominently the coronary arteries. Associated with a ... paranasal sinus abnormalities. *vessel biopsy showing eosinophils in extravascular areas. Microscopic polyarteritis/ ...
Combination of superior and inferior vena cava and coronary sinus. Supplies. The entire body, with exception of the respiratory ... Left coronary artery, right coronary artery and continues as the aortic arch. ... The only branches of the ascending aorta are the two coronary arteries which supply the heart; they arise near the commencement ... The sinotubular junction is the point in the ascending aorta where the aortic sinuses end and the aorta becomes a tubular ...
Tachycardia in the presence of AMI can reduce coronary blood flow and increase myocardial oxygen demand, aggravating the ... Sinus tachycardia (also colloquially known as sinus tach or sinus tachy) is a sinus rhythm with an elevated rate of impulses, ... Not required for physiologic sinus tachycardia. Underlying causes are treated if present. Acute myocardial infarction. Sinus ... Sinus tachycardia accompanying a myocardial infarction may be indicative of cardiogenic shock. Sinus tachycardia is usually a ...
Functional magnetic resonance imaging
The nonuniformities are often near brain sinuses such as the ear and plugging the cavity for long periods can be discomfiting. ... low-dose coronary CT angiography, nuclear imaging, and X-ray angiography), differences in the mechanism by which this damage ...
Acute respiratory distress syndrome
sinuses. Sinusitis. nose. Rhinitis Vasomotor rhinitis. Atrophic rhinitis. Hay fever. Nasal polyp. Rhinorrhea. nasal septum ... Coronary care unit (CCU). *Critical illness insurance. Conditions. Organ system failure. Shock sequence. SIRS. Sepsis. Severe ...
sinuses. Sinusitis. nose. Rhinitis Vasomotor rhinitis. Atrophic rhinitis. Hay fever. Nasal polyp. Rhinorrhea. nasal septum ... Coronary artery aneurysm. *head / neck *Intracranial aneurysm. *Intracranial berry aneurysm. *Carotid artery dissection ...
Most of the blood of the coronary veins returns through the coronary sinus. The anatomy of the veins of the heart is very ... The coronary veins all empty into the coronary sinus which empties into the right atrium. ... heart veins that go into the coronary sinus: the great cardiac vein, the middle cardiac vein, the small cardiac vein, the ... Coronary veins carry blood with a poor level of oxygen, from the myocardium to the right atrium. ...
Patent US5984909 - Coronary sinus catheter - Google Patents
A catheter for insertion in the ostium of the coronary sinus in the right atrium comprised of a main reinforced portion, an ... The coronary sinus extends from an opening (22) for the coronary sinus in the right atrium, along the posterior of the heart to ... Coronary sinus lead delivery catheter. US20070208324 *. Aug 11, 2004. Sep 6, 2007. Cardiac Pacemakers, Inc.. Coronary sinus ... Coronary sinus lead delivery catheter. US7976531. Apr 11, 2007. Jul 12, 2011. Cardiac Pacemakers, Inc.. Coronary sinus lead ...
Coronary sinus | Define Coronary sinus at Dictionary.com
... a large venous channel in the heart wall that receives blood via the coronary veins and empties into the right atrium. See more ... coronary sinus in Medicine Expand. coronary sinus n. A short trunk receiving most of the veins of the heart, running in the ... The left part of the sinus venosus, which does not enlarge at the same rate as the right part, remains as the coronary sinus. ... a large venous channel in the heart wall that receives blood via the coronary veins and empties into the right atrium. ...
Coronary Sinus to Left Atrial Communication
... Vandhana Scheller, Wojciech Mazur, James Kong, and Eugene S. Chung ... Congenital coronary sinus anomalies are rare in clinical practice, partly due to the lack of symptoms. We present a case of ... In conclusion, further investigations revealed a communication between the coronary sinus (CS) and left atrium (LA). ... coronary sinus anomaly causing a right-to-left intracardiac shunt in a 46 years/old African American female with a past medical ...
Coronary Sinus Anatomy, Function & Definition | Body Maps
Long-term electrode catheter pacing from coronary sinus. | The BMJ
Patent US5951471 - Catheter-based coronary sinus mapping and ablation - Google Patents
... is pre-shaped to snugly fit into the coronary sinus, so that the tip electrode is positioned into the sinus; the distal section ... and RF energy is then applied to the coronary sinus tissue through the electrodes to cause activation mapping, and/or ablation. ... A catheter-based method for coronary sinus mapping, pacing, and ablation, wherein a flexible electrode catheter, having a tip ... this invention relates to a catheter and the methods for coronary sinus mapping as a diagnostic device, and for coronary sinus ...
Coronary Sinus Atrial Septal Defects: Practice Essentials, Background, Pathophysiology
... sinus orifice and are characterized by the absence of at least a portion of the common wall that separates the coronary sinus ... are defects located in the portion of the atrial septum that includes the coronary ... encoded search term (Coronary Sinus Atrial Septal Defects) and Coronary Sinus Atrial Septal Defects What to Read Next on ... Coronary sinus ASDs are believed to arise from developmental failure of formation of the wall between the coronary sinus and ...
Patent US6445958 - Steerable coronary sinus defibrillation lead - Google Patents
... allowing the lead to be more easily placed within the coronary sinus. The lead comprises an elongated lead body having a ... 1, a coronary sinus lead 10 is illustrated in perspective view. The coronary sinus lead 10 has an elongated lead body 12 having ... Coronary sinus lead for pacing the left atrium. US20060276869 *. 21 Feb 2006. 7 Dec 2006. Seth Worley. Coronary sinus lead for ... Right-side coronary sinus lead delivery catheter. US8244376. 12 Nov 2009. 14 Aug 2012. Oscor Inc.. Coronary sinus lead for ...
Patent US5395331 - Retrograde coronary sinus catheter having a ribbed balloon - Google Patents
The catheter is adapted for improved retention in the coronary sinus. The catheter comprises a catheter tube having infusion, ... A coronary sinus catheter for the retrograde infusion of cardioplegia solutions into the coronary sinus. ... 1. A coronary sinus catheter for the retrograde infusion of cardioplegia solution into the coronary sinus of a patients heart ... 2. A coronary sinus catheter for the retrograde infusion of cardioplegia solution into the coronary sinus of a patients heart ...
Tag: coronary sinus. Coronary sinus reduction for intractable angina. Posted on March 2, 2015. by Alistair Lindsay ... acute coronary syndrome angina antiplatelets atherosclerosis atrial fibrillation beta-blockers Blood pressure CABG cardiac ... arrest Cardiac CT cardiovascular disease cardiovascular risk cholesterol clopidogrel coronary artery disease CRP CRT diabetes ... ICD inflammation ischaemic heart disease LDL MRI myocardial infarction noncardiac surgery omega-3 PCI percutaneous coronary ...
Transvenous defibrillation in humans via the coronary sinus. | Circulation
Transvenous defibrillation in humans via the coronary sinus.. G H Bardy, M D Allen, R Mehra, G Johnson, S Feldman, H L Greene, ... Transvenous defibrillation in humans via the coronary sinus.. G H Bardy, M D Allen, R Mehra, G Johnson, S Feldman, H L Greene ... Transvenous defibrillation in humans via the coronary sinus.. G H Bardy, M D Allen, R Mehra, G Johnson, S Feldman, H L Greene ... An RV electrode combined with a coronary sinus (CS) electrode, however, may improve current distribution to the posterolateral ...
Webster Supra CS Decapolar (Coronary Sinus Fixed Curve Catheters)
All of our coronary sinus catheters are specifically designed an,medicine,medical supply,medical supplies,medical product ... Biosense Webster is the source for a complete line of diagnostic coronary sinus catheters for left-sided mapping - all with the ... Webster Decapolar Coronary Sinus Deflectable Catheters. 10. Webster Parahisian octapolar catheter. 11. Webster Santoro 20 Pole ... All of our coronary sinus catheters are specifically designed and constructed to help minimize the frustration and excess ...
Acute Effects of Elevation of Coronary Sinus Pressure | Circulation
However, when the sinus is arterialized in the presence of normal or reduced coronary flow electrocardiographic and coronary ... The evidence presented shows that arterialization of the coronary sinus results in a small retrograde flow from the sinus ... Acute Effects of Elevation of Coronary Sinus Pressure. RICHARD W. ECKSTEIN, J. CARL HORNBERGER, TOYOMI SANO ... The acute physiologic effects of the aorta to coronary sinus anastomosis of Beck have been studied. ...
Coronary sinus and subvalvular left ventricular aneurysm. | Heart
Spontaneous Bacterial Pericarditis and Coronary Sinus Endocarditis Caused by Oxacillin-Susceptible Staphylococcus aureus
Coronary sinus thrombosis is rare. Lesions associated with coronary sinus catheterization for retrograde cardioplegia during ... Figure 3: Right atriotomy showing the coronary sinus vegetation (RA: right atrium; CS: coronary sinus; M: mass). ... all four major epicardial coronary arteries and coronary sinus and associated with purulent pericarditis," American Journal of ... cm echogenic coronary sinus mass on the right atrium (Figure 2). There were no alterations of cardiac valves, and left ...
Coronary sinus - Wikipedia
The coronary sinus drains into the right atrium, at the coronary sinus orifice, an opening between the inferior vena cava and ... The end of the great cardiac vein and the coronary sinus is marked by the Vieussens valve. The coronary sinus runs transversely ... Posterior view of coronary circulation Coronary arteries Percutaneous coronary intervention McAlpine, W. A. (2012). Heart and ... the valve of coronary sinus (or valve of Thebesius). The sinus, before entering the atrium, is considerably dilated - nearly to ...
Coronary Sinus Lead Positioning
... Roka, Attila; Borgquist, Rasmus LU and Singh, Jagmeet (2015) In Cardiac Electrophysiology ... Optimal coronary sinus lead positioning is important to increase the chance of successful resynchronization. Patient factors ... Optimal coronary sinus lead positioning is important to increase the chance of successful resynchronization. Patient factors ... Cardiac Resynchronization Therapy Devices, Coronary Sinus, Electrodes, Implanted, Evidence-Based Medicine, Heart Failure, ...
A Case of Ruptured Coronary Sinus of Valsalva | Válvula cardíaca | Corazón
A Case of Ruptured Coronary Sinus of Valsalva - Download as Word Doc (.doc / .docx), PDF File (.pdf), Text File (.txt) or read ... of cases originate in the non-coronary sinus, which usually leads to a termination in the Right Atrium. Sinus of Valsalva ... Most often the aneurysm begins in the right coronary sinus (80%) and terminates in the right ventricle (72%) but up to 15% ... Congenital sinus of Valsalva aneurysm was first described 1839. This first published account describes rupture of a sinus of ...
Valve of coronary sinus - Wikipedia
The valve of the coronary sinus (Thebesian valve) is a semicircular fold of the lining membrane of the right atrium, at the ... Anatomy of the valve of the coronary sinus (thebesian valve). Clinical Anatomy. Vol. 7 (1), 10-12. Abstract synd/4012 at Who ... orifice of the coronary sinus. It is situated at the base of the inferior vena cava. The valve may vary in size, or be ... It may prevent the regurgitation of blood into the sinus during the contraction of the atrium. This valve may be double or it ...
By Blocking Coronary Sinus, Miracor's PICSO System Targets Myocardial Blush; Gets CE Marked | Medgadget
Austria has announced that its Pressure-controlled Intermittent Coronary Sinus Occlusion (PICSO) Impulse System has ... By Blocking Coronary Sinus, Miracors PICSO System Targets Myocardial Blush; Gets CE Marked. December 16th, 2010 Smit Shah ... The biggest problem with such a system, in our opinion, is how to access the coronary sinus in a quick and efficient manner, ... The PICSO system works by occluding the venous side of the cardiac circulation, via an intermittent block at the coronary sinus ...
Coronary Sinus Reducer Implantation | JACC: Cardiovascular Interventions
Coronary Sinus Reducer Implantation Message Subject (Your Name) has forwarded a page to you from JACC: Cardiovascular ... 2018) Coronary sinus reducer implantation for the treatment of chronic refractory angina: a single-center experience. J Am Coll ... 2015) Efficacy of a device to narrow the coronary sinus in refractory angina. N Engl J Med 372:519-527. ... 1) and the editorial by Wijns and Behan (2) about the coronary sinus reducer implantation in chronic refractory angina. After ...
Cardioversion and defibrillation lead system with electrode extension into the coronary sinus and great vein - Medtronic, Inc.
... said coronary sinus and said great vein such that said first elongated electrode is located entirely within said coronary sinus ... Cardioversion and defibrillation lead system with electrode extension into the coronary sinus and great vein ... 9 shows a plan view of an endocardial lead 170 for use in the coronary sinus. This lead is provided with an elongated ... inserting a first electrode lead having an elongated first electrode adjacent a distal end of said lead into the coronary sinus ...
Anomalous Origin of the Right Coronary Artery from the Left Sinus Valsalva with Coronary Ectasia
In the past, an anomalous origin of the right coronary artery from the left sinus of Valsalva was considered a benign finding; ... We thought that; the diagnosis of left sinus Valsalva aneurysm, described by transtorasic echocardiography and transeusophageal ... The abnormal origin of the right coronary artery from the left aortic sinus coursing between the aorta and the pulmonary trunk ... Anomalous Origin of the Right Coronary Artery from the Left Sinus Valsalva with Coronary Ectasia ...
Coronary Arteriovenous Fistula and Aortic Sinus Aneurysm Rupture. | Annals of Internal Medicine | American College of Physicians
Coronary Arteriovenous Fistula and Aortic Sinus Aneurysm Rupture. John C. Holmes, M.D. (Associate); Noble Fowler, M.D., F.A.C.P ... In local experience coronary arteriovenous fistula or aortic sinus of Valsalva aneurysm rupture into the right heart are the ... Coronary Arteriovenous Fistula and Aortic Sinus Aneurysm Rupture.. Ann Intern Med. 1966;64:1153. doi: 10.7326/0003-4819-64-5- ... RUPTURE OF AN ANEURYSM OF A SINUS OF VALSALVA INTO THE RIGHT AURICLE(RUPTURE OF AN ANEURYSM OF A SINUS OF VALSALVA INTO THE ...
Assessment of Global Myocardial Perfusion Reserve Using Coronary Sinus Flow Measurements | Clinical Research Trial Listing (...
New life-saving treatments for Coronary artery disease in clinical trial on Assessment of Global Myocardial Perfusion Reserve ... In brief, the contour of the coronary sinus will be traced on the flow images throughout the cardiac cycle. Coronary sinus flow ... at the coronary sinus. Coronary sinus flow will be calculated by post-processing of images after the patient has left the ... quantifying change in coronary sinus flow has been described. The coronary sinus drains approximately 96% of total myocardial ...
Randomized Comparison of Endocardial Versus Epicardial - From the Coronary Sinus - Left Ventricular Pacing for...
The coronary sinus approach rarely offers more than 1 or 2 potential pacing sites. Resynchronisation using a transeptal ... However, up to 30% of the patients are non responsive to this strategy using the coronary sinus approach to pace the Left ... Device: Resynchronization using a transeptal approach Device: Resynchronization using a coronary sinus approach Not Applicable ... Device: Resynchronization using a coronary sinus approach Cardiac resynchronization with one in the right ventricle and one in ...
Use of the Neovasc Coronary Sinus Reducer System for the Treatment of Refractory Angina Pectoris in Patients With Ngina Class 3...
Use of the Neovasc Coronary Sinus Reducer System for the Treatment of Refractory Angina Pectoris in Patients With Ngina Class 3 ... Risks (theoretical):Coronary sinus dissection at the time of implantation. Coronary sinus perforation and acute cardiac ... Late coronary sinus occlusion These risk were not reported in patients who receieved the device. Benefits: Reduce angina ... Cannulation of the coronary sinus presents procedural risks similar to that of pacemaker electrode insertion, a procedure which ...
Entropy | Free Full-Text | Kolmogorov Complexity of Coronary Sinus Atrial Electrograms Before Ablation Predicts Termination of...
Kolmogorov Complexity of Coronary Sinus Atrial Electrograms Before Ablation Predicts Termination of Atrial Fibrillation After ... This paper shows an unclear methodology to evaluate complexity of coronary sinus atrial electrograms before ablation predicts ... hypothesis that the Kolmogorov complexity of a single atrial bipolar electrogram recorded during AF within the coronary sinus ...
Continuous Recording of Arterial and Coronary Sinus pH during Pacing-Induced Ischaemia | Clinical Science | Portland Press
Unroofing Procedure for Correction of an Anomalous Right Coronary Artery From the Left Aortic Sinus | CTSNet
Anomalous right coronary artery arising from the left aortic sinus is known to be associated with an increased risk of sudden ... Unroofing Procedure for Correction of an Anomalous Right Coronary Artery From the Left Aortic Sinus. Tuesday, November 8, 2011 ... that results in relocation of the coronary artery into the appropriate aortic sinus and is demonstrated in the following video ... such as coronary artery bypass grafting or reimplantion of the ostium into the right sinus of Valsalva. ...
ValsalvaArteriesCatheterAortic sinusCardiacOcclusionAortaAbstractAngiographyCathetersAnomaliesRetrogradePercutaneousPulmonaryProximalAtrial septalAnomalous coronaryTricuspid valveRefractory anginaVentricularAneurysmCirculationAblationVenous channelLeft ventricleInferior venaElectrodeImplantationMyocardial ischemiaInterventionsThebesianReducerAnomalyPerfusionOrifice of the coronary sinusCases of coronary sinusSudden deathDrainsAcuteElectrophysiologyEchocardiographyPatientsEpicardialCongenital coronaryPosteriorAngiographicArtery originCircumflex corona
- Congenital sinus of Valsalva aneurysm was first described 1839. (scribd.com)
- This first published account describes rupture of a sinus of Valsalva, which is the most feared complication. (scribd.com)
- Aneurysm of a sinus of Valsalva is a rare congenital cardiac defect that can rupture, causing heart failure or other catastrophic cardiac events. (scribd.com)
- Sinus of Valsalva aneurysms are uncommon clinical entities but are known to be associated with up to 0.5-1.5% of patients. (scribd.com)
- Sinus of Valsalva aneurysms can be congenital or acquired as a result of injury, infection, or be related to Marfan syndrome or Behcet disease. (scribd.com)
- Up to 47% of patients with sinus of Valsalva aneurysms are found to have an associated congenital defect. (scribd.com)
- the diagnosis of left sinus Valsalva aneurysm, described by transtorasic echocardiography and transeusophageal echocardiography, might need demonstrated advanced scanning techniques. (scirp.org)
- N. Söylemez, R. Demirbağ, T. Hazırolan and O. AkpınarP, "Anomalous Origin of the Right Coronary Artery from the Left Sinus Valsalva with Coronary Ectasia," International Journal of Clinical Medicine , Vol. 2 No. 3, 2011, pp. 269-271. (scirp.org)
- Acute inferior myocardial infarction and coronary spasm in a patient with an anomalous origin of the right coronary artery from the left sinus of Valsalva. (scirp.org)
- In local experience coronary arteriovenous fistula or aortic sinus of Valsalva aneurysm rupture into the right heart are the two common causes of continuous murmurs with systolic accentuation which are maximum over the lower sternum. (annals.org)
- Several surgical techniques have been described to address this defect, such as coronary artery bypass grafting or reimplantion of the ostium into the right sinus of Valsalva. (ctsnet.org)
- Surviving All Odds: A Unique Case of Multiple Congenital Unruptured Sinus of Valsalva Aneurysms Involving Both Left and Right Coronary Sinuses with Biventricular Dysfunction and Heart Block. (amrita.edu)
- Aneurysms of the sinus of Valsalva are very uncommon, with an incidence ranging from 0.1 to 3.5% of all congenital heart defects. (amrita.edu)
- After complete evaluation using transesophageal echocardiography (TEE) and multiple detector computed tomography (MDCT) scanning, the patient was diagnosed to have large congenital unruptured sinus of Valsalva aneurysms involving both left and right coronary sinuses with extension into the interventricular septum. (amrita.edu)
- We present the case with an aim to highlight the management challenges including intraoperative and postoperative complications that are associated with unruptured sinus of Valsalva aneurysms of ≥2 sinuses. (amrita.edu)
- The left coronary artery from the right sinus of Valsalva represents an incidence of 0.017% of angiographic series and 1.3% of total coronary anomalies of angiographic series. (koreamed.org)
- The anomalous left coronary artery arising from the right sinus of Valsalva may take either a septal, anterior, interarterial or posterior course. (koreamed.org)
- The left coronary artery from the right sinus of Valsalva with posterior course are thought to be benign anomalies, although rarely myocardial ischemia may occur. (koreamed.org)
- Coronary angiography revealed that anomalous left coronary artery origin from right sinus of Valsalva without any significant stenotic lesion, the anomalous left coronary artery passed posterior to the aorta. (koreamed.org)
- An anomalous left main coronary artery is a rarely seen clinical entity, particularly when it arises from the right sinus of Valsalva. (jefferson.edu)
- aberrant origin of the left coronary artery from the right sinus of Valsalva, which then coursed between the aorta and main pulmonary artery. (journals.co.za)
- Rotational Atherectomy in a Dissected Coronary Artery That Propagated Into the Sinus of Valsalva: Is This the Last Hope? (medreviews.com)
- Rupture of the sinus of Valsalva is an extremely rare complication after percutaneous coronary intervention (PCI). (kjim.org)
- Our patient experienced a delayed rupture of the right sinus of Valsalva into the right atrium at approximately 3 months after PCI. (kjim.org)
- Dissection of sinus of Valsalva is a rare but potentially life-threatening complication of percutaneous coronary intervention (PCI), due to fatal outcomes such as aortic dissection. (kjim.org)
- Transthoracic and transesophageal echocardiography demonstrated bulging and rupture of the sinus of Valsalva with jet flow from the non-coronary cusp to the right atrium (RA) in the diastolic phase ( Fig. 3 ), severe aortic regurgitation, and moderate mitral regurgitation. (kjim.org)
- To this end, in a calf with an anomalous left coronary artery that coursed from the right sinus of Valsalva between the great vessels, we assessed for myocardial ischemia during pharmacologically induced tachycardia and hypertension. (elsevier.com)
- Methods: We identified a juvenile male calf (103 kg) with an anomalous left coronary artery from the right sinus of Valsalva that coursed between the great vessels. (elsevier.com)
- All coronary arteries originating from separate ostia in the right sinus of Valsalva is a very rare coronary artery anomaly. (viamedica.pl)
- To better clarify the course of the coronary arteries, coronary computed tomography angiography was performed and all three coronary arteries were determined to originate from separate ostia in the right sinus of Valsalva. (viamedica.pl)
- In our presentation, the clinical data about the case where three coronary arteries originated from separate ostia in the right sinus of Valsalva have been presented along with the coronary angiography and coronary computed tomography angiography images in the light of literature. (viamedica.pl)
- Aneurysms of the sinuses of Valsalva are defined as dilatation of the aortic root region between the aortic annulus and the sinotubular junction. (rbccv.org.br)
- Isolated aneurysms of the sinus of Valsalva are rare cardiovascular pathologies. (rbccv.org.br)
- In this report, a 41-year-old male patient was reported with giant aneurysm of the non-coronary sinus of Valsalva whom underwent aortic root sparing surgical aortic sinus of Valsalva reconstruction. (rbccv.org.br)
- right, left and non-coronary sinuses of Valsalva in accordance with the corresponding coronary artery. (rbccv.org.br)
- Aneurysms may be confined to any of the sinuses of Valsalva. (rbccv.org.br)
- In this report, a surgical treatment of a giant aneurysm of the non-coronary sinus of Valsalva with aortic root preservation is described. (rbccv.org.br)
- however, hugely dilated non-coronary sinus of Valsalva ( Figure 1A ). (rbccv.org.br)
- Computerized tomography (CT) revealed 6.5cm in diameter aneurysm of the non-coronary sinus of Valsalva compressing the right atrium and superior vena cava ( Figure 1B ). (rbccv.org.br)
- B) Computer tomography shows the aneurysm of the non-coronary sinus of Valsalva. (rbccv.org.br)
- C) Biologic patch repair of the aneurysm of the non-coronary sinus of Valsalva. (rbccv.org.br)
- This revealed a common coronary trunk arising from the right sinus of Valsalva giving rise to a right coronary artery (RCA) and a long left main trunk further dividing into a Type-I left anterior descending artery (LAD) and co-dominant left circumflex coronary artery. (viamedica.pl)
- Origin of both coronary arteries from the same sinus of Valsalva was found in two patients. (meta.org)
- In one patient the right coronary artery opened from the left sinus of Valsalva, coursed between the pulmonary artery and aorta, disclosed a 95% obstruction in its proximal third with good runoff. (meta.org)
- In the second patient the left coronary opened from the right sinus of Valsalva, the left main trunk crossed anteriorily the pulmonary artery conus, and both the circumflex and the left anterior descending branches showed significant narrowing. (meta.org)
- Origin of left main coronary artery and RCA from opposite sinus of Valsalva with further course of anomalous vessels between aorta and pulmonary artery often is linked to sudden death. (hvt-journal.com)
- Posterior view of coronary circulation Coronary arteries Percutaneous coronary intervention McAlpine, W. A. (2012). (wikipedia.org)
- Heart and Coronary Arteries: An Anatomical Atlas for Clinical Diagnosis, Radiological Investigation, and Surgical Treatment. (wikipedia.org)
- During a heart attack one or several arteries are blocked due to a build-up of plaque in the coronary vessel. (medgadget.com)
- Ano- malous aortic origin of coronary arteries. (scirp.org)
- Anomalies of the coronary arteries. (scirp.org)
- Rapid identification of the course of anomalous coronary arteries in adults: The 'dot and eye' method. (scirp.org)
- Myocardial perfusion reserve depends not only on trans-stenotic pressure gradient of the epicardial arteries and thus stenosis severity but even more on the ability of the coronary microvasculature (especially the pre-arterioles) to dilate. (centerwatch.com)
- Hence, the ability to measure myocardial perfusion reserve allows a more comprehensive assessment of the entire coronary circulation, beyond the current paradigm of the epicardial arteries. (centerwatch.com)
- Conclusions: These findings confirm the proposed mechanism of sudden death and support early surgical repair of coronary arteries that course between the aortic root and the pulmonary trunk. (elsevier.com)
- Epicardial mapping and ablation in the GCV area are limited due to the presence of fat and the overlying left atrial appendage and coronary arteries . (symbiosisonlinepublishing.com)
- But the application of this energy inside the GCV is related with potential severe complications, such as cardiac perforation or damage of epicardial structures like coronary arteries or phrenic nerves . (symbiosisonlinepublishing.com)
- The RCA and the LCA were dilated, and collaterals between the two coronary arteries were observed. (springeropen.com)
- In particular, the inter-arterial course of the coronary arteries may lead to malignant clinical outcomes. (viamedica.pl)
- Aortic sinuses are sacs providing aortic opening during systole without occlusion of the coronary arteries. (rbccv.org.br)
- aortic s's pouchlike dilatations at the root of the aorta, one opposite each semilunar cusp of the aortic valve, from which the coronary arteries originate. (thefreedictionary.com)
- This patient's condition shows that (1) coronary spasm may cause sinus node dysfunction, dizziness, and syncope, (2) severe spasm that involves all the coronary artery branches may be fatal, and (3) severe spasm may occur in minimally diseased coronary arteries confirmed by pathologic examination. (jamanetwork.com)
- Jackson, KW & Jaquiss, RDB 2016, ' Wrong Sinus Coronary Arteries: Another Piece of the Puzzle ', Seminars in Thoracic and Cardiovascular Surgery , vol. 28, no. 4, pp. 801-802. (elsevier.com)
- In both patients the arteries shared a common sinus with two separate orifices, both had bicuspid aortic valve, and in both, nonaberrant coronary vessels also had stigmata of atherosclerosis. (meta.org)
- Our case demonstrates that when both coronary arteries` ostia are close to each other coronary arteries can be re-implanted on common area. (hvt-journal.com)
- Firstly, this prevents distention and deformation of coronary arteries that might cause myocardial infarction. (hvt-journal.com)
- 2. The system of claim 1 , wherein the occluding member is configured to occlude the aorta at a location between the barchiocephalic arteries and the coronary ostia. (google.co.uk)
- 3. The system of claim 2 , wherein the occluding member is configured such that the cannula is located between the occluding member and the brachiocephalic arteries when the occluding member occludes the aorta at a location between the brachiocephalic arteries and the coronary ostia. (google.co.uk)
- A catheter for insertion in the ostium of the coronary sinus in the right atrium comprised of a main reinforced portion, an intermediate zone portion and a soft tip portion wherein a portion of the catheter is curved in a double curve, wherein the first curve is a first longitudinal curve, wherein the. (google.com)
- Long-term electrode catheter pacing from coronary sinus. (bmj.com)
- 2. The catheter for mapping the electrical conduction pattern of the coronary sinus in the right atrium of the heart as in claim 1, wherein the pre-shaped tip section has a transition angle of 40 to 50 degrees. (google.com)
- 3. The catheter for mapping the electrical conduction pattern of the coronary sinus in the right atrium of the heart as in claim 1, wherein the length of the pre-shaped tip section of the elongate tubular element is longer than 20 cm. (google.com)
- 4. The catheter for mapping the electrical conduction pattern of the coronary sinus in the right atrium of the heart of claim 1 further comprising a reference electrode, wherein the reference electrode is located about 30-40 cm from the distal end of the elongate tubular element. (google.com)
- 5. The catheter for mapping the electrical conduction pattern of the coronary sinus in the right atrium of the heart as in claim 1, wherein the suspension means includes a coil at a proximal end of the tip electrode. (google.com)
- More particularly, this invention relates to a catheter and the methods for coronary sinus mapping as a diagnostic device, and for coronary sinus ablation in the treatment of atrial flutter indications. (google.com)
- A coronary sinus catheter for the retrograde infusion of cardioplegia solutions into the coronary sinus. (google.ca)
- The catheter is adapted for improved retention in the coronary sinus. (google.ca)
- Biosense Webster is the source for a complete line of diagnostic coronary sinus catheters for left-sided mapping - all with the quality, reliability and precise performance you've come to expect from the leader in catheter technology. (bio-medicine.org)
- This paper tests the hypothesis that the Kolmogorov complexity of a single atrial bipolar electrogram recorded during AF within the coronary sinus at the beginning of the catheter ablation may predict AF termination directly after pulmonary vein isolation (PVI). (mdpi.com)
- After placement of the coronary sinus (CS) decapolar catheter, he was found to have CFAE in the proximal coronary sinus (Figure 1). (eplabdigest.com)
- INTRODUCTION: Failure to enter the coronary sinus (CS) with a guiding catheter and entering its tributaries remains challenging in left ventricle (LV) pacing lead implants for cardiac resynchronization therapy (CRT). (biomedsearch.com)
- Objectives We sought to investigate electrophysiological characteristics and catheter ablation in patients with focal atrial tachycardia (AT) originating from the non-coronary aortic sinus (AS). (onlinejacc.org)
- Elongation of the high right atrium to coronary sinus conduction time predicts the recurrence of atrial fibrillation after radiofrequency catheter ablation. (researchmap.jp)
- Coronary Sinus Catheter-Induced Heart Block During Aortic Valve Replacement: A Case Report. (physiciansweekly.com)
- We present the first case described in the literature of a patient with a preexisting left bundle branch block, and heart failure with a reduced left ventricular ejection fraction of 25% who developed complete heart block after placement of a coronary sinus catheter. (physiciansweekly.com)
- This technique likely will facilitate coronary sinus engagement and navigation for pacing lead and catheter placement. (elsevier.com)
- The ablation catheter was entered the coronary sinus to guide electrical isolation, curing the tachycardia. (scirp.org)
- A lumen extends through the catheter for the injection of angiographic dye therethrough to the right coronary artery. (google.ca)
- The deformation results in the biassing of the tip portion of the catheter into the ostium of the right coronary artery. (google.ca)
- Upon insertion into the aorta the preformed catheter is oriented so that the curvature of the body portion of the catheter corresponds in direction to the curvature of the aortic arch, the tip portion of the catheter being disposed above the ostium of the right coronary artery with the distal end of the tip portion touching the wall of the ascending aorta. (google.ca)
- The tip portion of the catheter is moved down the wall of the ascending aorta until it reaches the ostium of the right coronary artery. (google.ca)
- The abnormal origin of the right coronary artery from the left aortic sinus coursing between the aorta and the pulmonary trunk is a rare congenital anomaly. (scirp.org)
- Coronary Arteriovenous Fistula and Aortic Sinus Aneurysm Rupture. (annals.org)
- This report describes three patients with coronary arteriovenous fistula subjected to successful surgical repair and five patients with anatomically verified aortic sinus aneurysm rupture, two of whom had successful repair. (annals.org)
- Anomalous right coronary artery arising from the left aortic sinus is known to be associated with an increased risk of sudden death. (ctsnet.org)
- The currently favored approach for repair is the anatomic correction by an unroofing procedure, that results in relocation of the coronary artery into the appropriate aortic sinus and is demonstrated in the following video. (ctsnet.org)
- The purpose of this study is to characterize the clinical profile and identify clinical markers that would enable the detection during life of anomalous coronary artery origin from the wrong aortic sinus (with course between the aorta and pulmonary trunk) in young competitive athletes. (onlinejacc.org)
- We reported 27 sudden deaths in young athletes, identified solely at autopsy and due to either left main coronary artery from the right aortic sinus (n = 23) or right coronary artery from the left sinus (n = 4). (onlinejacc.org)
- In 9 patients with focal atrial tachycardia (AT) originating from the non-coronary aortic sinus (AS), mapping in the aorta demonstrated that an earliest atrial activation preceded the atrial activation at the His bundle (HB) by 12.2 ± 6.9 ms. Also, the His potentials were not found at the successful site in the non-coronary AS. (onlinejacc.org)
- Background: A coronary artery arising from the wrong aortic sinus, with or without a proximal course between the aorta and the pulmonary artery, may predispose to myocardial ischemia, myocardial infarction, or sudden death. (elsevier.com)
- This is a rare condition and a unique combination of a spontaneous acute bacterial pericarditis with coronary sinus endocarditis without cardiac valve compromise. (hindawi.com)
- The coronary sinus starts at the junction of the great cardiac vein and the oblique vein of the left atrium. (wikipedia.org)
- The end of the great cardiac vein and the coronary sinus is marked by the Vieussens valve. (wikipedia.org)
- Oblique vein of left atrium The coronary sinus receives blood mainly from the small, middle, great and oblique cardiac veins. (wikipedia.org)
- The anterior cardiac veins do not drain into the coronary sinus but drain directly into the right atrium. (wikipedia.org)
- The PICSO system works by occluding the venous side of the cardiac circulation, via an intermittent block at the coronary sinus, which Miracor claims will result in increased upstream pressure, and therefore greater blood redistribution through the ischemic area. (medgadget.com)
- Taylor AJ, Rogan KM, Virmani R. Sudden cardiac death associated with isolated congenital coronary artery ano- malies. (scirp.org)
- In brief, the contour of the coronary sinus will be traced on the flow images throughout the cardiac cycle. (centerwatch.com)
- Coronary sinus flow is calculated by integrating the momentary flow rate values from each cardiac phase over the entire cardiac cycle and multiplying by the mean heart rate during the acquisition. (centerwatch.com)
- Cardiac resynchronization with one in the right ventricle and one in the left ventricle via the coronary sinus. (clinicaltrials.gov)
- Coronary sinus perforation and acute cardiac tamponade requiring drainage. (centerwatch.com)
- The coronary sinus receives drainage from most epicardial ventricular veins, including the oblique vein of the left atrium (and other left and right atrial veins), the great cardiac vein, the posterior vein of the left ventricle, the left marginal vein, and the posterior interventricular vein. (umn.edu)
- The coronary sinus serves as the primary collector of cardiac venous blood. (umn.edu)
- In at least few of these, the possibility that thrombosis of the coronary sinus could be associated with cardiac death remains unanswered. (statpearls.com)
- The first major system is the coronary sinus which receives approximately 60% of the total cardiac venous return from posterior myocardium via several tributaries and opens into the right atrium. (statpearls.com)
- Therefore, considering these anastomotic connections between the coronary sinus and the anterior cardiac veins, and the drainage capability of the thebesian veins, coronary sinus thrombosis would, at least theoretically, appear to be a relatively benign entity, but it is not. (statpearls.com)
- Expanded indications for cardiac resynchronization therapy and the increasing incidence of cardiac implantable electronic device infection have led to an increased need for coronary sinus (CS) lead extraction. (leadconnection.org)
- Objective: An ectopic coronary artery that courses between the aortic root and the pulmonary trunk may lead to sudden cardiac death, especially in athletes. (elsevier.com)
- Left coronary artery resistance increased in a cardiac cycle-dependent pattern that was consistent with systolic compression between the great vessels. (elsevier.com)
- In the literature, such coronary artery anomaly have been reported to cause myocardial ischaemia and sudden cardiac death. (viamedica.pl)
- RATIONALE Primary cardiac lymphoma is a rare tumor , especially a tumor located in coronary sinus (CS). (bvsalud.org)
- Echocardiography and cardiac catheterization revealed ASD, severe mitral regurgitation, cor triatriatum, left SVC connected to left atrium (accessory chamber) and absent coronary sinus. (elsevier.com)
- Carol Adams, solitary ebook Coronary Sinus Interventions in Cardiac Surgery, of Chicago community DuSable Museum of administrative attentional power near the UChicago research, is Woodson reason provider came a Un-Answered earth to her as a island. (geschenke-geschenk.com)
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- coronary sinus the dilated terminal portion of the great cardiac vein, receiving blood from other veins draining the heart muscle and emptying into the right atrium. (thefreedictionary.com)
- Coronary sinus is the largest cardiac venous channel and its increasingly used during electrophysiological procedures like LV pacing, biventricular ICD lead placement and ablation. (edelweisspublications.com)
- The coronary sinus has become a clinically important structure especially through its role in providing access for different cardiac procedures. (edelweisspublications.com)
- This is the first report of coronary sinus injury secondary to internal cardiac massage. (ispub.com)
- This report describes coronary sinus injury secondary to internal cardiac massage and the technique used for repair. (ispub.com)
- The internal cardiac massage had caused injuries to the anterior surface of the heart (a small epicardial tear on the surface of the right ventricle) and the coronary sinus. (ispub.com)
- To our knowledge, coronary sinus injury secondary to internal cardiac massage has not been reported. (ispub.com)
- 3. Dumoulin P, Hannoun L, Menu P, Rozensztajn L, Offenstadt G, Loygue J, Valty J. Rupture of the liver secondary to external cardiac massage in a patient with coronary disease: recovery after partial hepatectomy and aortocoronary bypass. (ispub.com)
- Miracor Medical Systems out of Vienna, Austria has announced that its Pressure-controlled Intermittent Coronary Sinus Occlusion (PICSO) Impulse System has received the European CE mark. (medgadget.com)
- Late coronary sinus occlusion These risk were not reported in patients who receieved the device. (centerwatch.com)
- Sudden occlusion of the left anterior descending branch approximately 2 cm. below the ostium of the left circumflex coronary artery in the dog's heart produces a mortality rate of approximately 50 per cent. (rupress.org)
- Following coronary sinus obturation such secondary sudden occlusion of the left anterior descending branch is followed either by no infarction or by a reduction in the size of the infarct. (rupress.org)
- On the other hand, sudden and complete coronary sinus obturation by itself is associated with a high operative mortality and apparently does not affect the mortality rate following subsequent sudden left anterior descending branch occlusion. (rupress.org)
- Although no experiments employing sudden left anterior descending coronary branch occlusion were carried out sooner than 1 week, there is available anatomic evidence that within possibly 24 hours after coronary sinus occlusion a dilatation of the vascular bed occurs. (rupress.org)
- A discussion is given of the results following various coronary sinus occlusion procedures in which it is indicated that it is desirable to produce a partial or gradual occlusion in order to lower the mortality rate both of the initial procedure as well as of the subsequent sudden arterial occlusion. (rupress.org)
- Sudden death is thought to result from transient occlusion of anomalous left coronary artery, particulary when the anomalous artery passes between the aorta and the pulmonary trunk. (koreamed.org)
- Diagnostic coronary angiogram (CAG) demonstrated critical tubular stenosis in the proximal segment of the left anterior descending artery (LAD) and near total occlusion in the mid-segment of the left circumflex artery, with TIMI 2 flow and critical diffuse stenosis in the proximal to mid-segment of the right coronary artery (RCA) ( Fig. 1A and 1B ). (kjim.org)
- Aims To study the effect of coronary sinus (CS) occlusion on normal hearts and hearts with structural disease. (ndsl.kr)
- These patients were treated using PICSO® (Pressure-controlled Intermittent Coronary Sinus Occlusion) following primary PCI (percutaneous coronary intervention, or angioplasty) in stable angina patients. (medlatest.com)
- The acute physiologic effects of the aorta to coronary sinus anastomosis of Beck have been studied. (ahajournals.org)
- We report the patient with anomalous origined left coronary artery and its course posterior to aorta associated with the sudden death. (koreamed.org)
- Because it usually results from the retrograde extension of a dissection of the right coronary artery and may quickly spread to involve the entire aorta, it can cause life-threatening complications such as aortic dissection. (kjim.org)
- A case of anomalous left coronary artery originating from the non-facing pulmonary sinus, located at the most distal position from the aorta, is described. (elsevier.com)
- The Takeuchi procedure is considered to be a useful surgical technique when the origin of the anomalous left coronary artery is far from the aorta. (elsevier.com)
- Coronary angiography confirmed that the dilated and tortuous RCA arose from the aorta, although the origin of the LCA could not be identified. (springeropen.com)
- In our case, coronary angiogram was performed on a patient presenting with unstable angina pectoris, and the left anterior descending artery, circumflex artery and right coronary artery were found to originate from separate ostia in the aorta. (viamedica.pl)
- A neo-non-coronary sinus was created with a double layer xenograft pericardial patch (Edwards Lifesciences Corporation, Irvine, California, ABD) sutured to between the annulus and the ascending aorta ( Figure 2C ). (rbccv.org.br)
- Samples were obtained both from the ascending aorta and the dilated sinus for microbiologic and histopathologic examination. (rbccv.org.br)
- When the coronary artery coursed between the aorta and the main pulmonary artery, the main pulmonary artery was translocated toward the left pulmonary artery to create additional space and prevent compression. (elsevier.com)
- Solitary coronary ostium in the aorta in the absence of other major congenital cardiovascular anomalies. (viamedica.pl)
- Aberrant coronary artery origin from the aorta. (meta.org)
- abstract = "Background - We sought to describe the prevalence and variability of coronary sinus (CS) and left atrial (LA) myocardium connections, their susceptibility to rate-dependent conduction block, and association with atrial fibrillation (AF) and flutter induction. (elsevier.com)
- abstract = "The combination of type IB2 cor triatriatum and coronary sinus ASD is very rare in congenital heart condition. (elsevier.com)
- Coronary artery anomalies in 126,595 patients undergoing coronary angiography. (scirp.org)
- Coronary artery anomalies: Assessment with free-breathing three-dimensional coronary MR angiography. (scirp.org)
- The patient is not amendable to re-do bypass graft surgery, not amendable to percutaneous coronary intervention, as determined by recent coronary angiography. (centerwatch.com)
- The left anterior descending artery was found to pass through the inter-atrial septum in coronary computed tomography angiography. (viamedica.pl)
- A 39 year-old female underwent coronary angiography for unstable angina. (viamedica.pl)
- More often anomaly of coronary artery is a random finding during imaging study, coronary angiography and autopsy. (hvt-journal.com)
- On admission his chest pain relieved and he was scheduled to coronary angiography. (hvt-journal.com)
- All of our coronary sinus catheters are specifically designed and constructed to help minimize the frustration and excess procedure time often associated with maneuvering and mapping in the coronary sinus. (bio-medicine.org)
- The use of telescoping guide catheters for coronary sinus cannulation and sub-selecting tributaries in left ventricular lead placement. (biomedsearch.com)
- Balloon catheters can be placed coronary sinus to deliver therapeutics, cardioplegia buffers, or contrast agents, to obtain venograms of the heart. (umn.edu)
- Background: Placement of electrophysiology catheters and pacing leads in the coronary sinus is challenging in some patients, particularly those with dilated cardiomyopathy. (elsevier.com)
- Congenital coronary sinus anomalies are rare in clinical practice, partly due to the lack of symptoms. (hindawi.com)
- Congenital coronary artery anomalies are not uncommonly associated with sudden death in young athletes, the catastrophic event probably provoked by myocardial ischemia. (onlinejacc.org)
- Such coronary anomalies are rarely identified during life, often because of insufficient clinical suspicion. (onlinejacc.org)
- Congenital coronary artery anomalies - " Congenital coronary artery anomalies (CCAAs) are not common, found only in ~1% (range 0.1-2%) of patients 1,3.The most important finding to look f. (radiopaedia.org)
- In most cases, coronary artery anomalies are not detected clinically because either they do not manifest by symptoms or the sudden death is the first and last sign of the disease. (hvt-journal.com)
- The evidence presented shows that arterialization of the coronary sinus results in a small retrograde flow from the sinus through capillaries into the occluded artery and that such retrograde flow supplies from 14 to 25 per cent of the normal myocardial oxygen requirement. (ahajournals.org)
- Patients will be randomised 1:1 to either retrograde BMAC administration via coronary sinus or standard HF therapy. (biomedcentral.com)
- Our assumption is that retrograde administration on non-selected BMAC via coronary sinus, due to the content of platelets and growth factors, might improve left ventricular function and parameters compared to standard HF therapy. (biomedcentral.com)
- Arterial cannulae intended for the ostium of the coronary sinus in order to provide antegrade or retrograde coronary perfusion/cardioplegia during cardiopulmonary bypass. (medicalproductguide.com)
- Coronary Sinus Injury is a rare complication of the retrograde delivery of cardioplegia [ 1 , 2 ]. (ispub.com)
- Coronary sinus injury can occur secondary to cannulation for delivering retrograde cardioplegia [1,2]. (ispub.com)
- Repair of coronary sinus rupture secondary to retrograde cardioplegia. (ispub.com)
- Miracor claims the PICSO system is a superior alternative to a coronary stent implantation alone (aka Percutaneous Coronary Intervention or PCI) for treatment of coronary artery disease in some patients. (medgadget.com)
- Most recently, a surgical procedure from the 1950s was "reinvented" as a percutaneous option for refractory angina: restriction of the venous drainage of the heart by reducing the diameter of the coronary sinus, as initially described by Claude Schaeffer Beck in his seminal paper published in the Journal of the American Medical Association in 1955 . (cardiovascmed.ch)
- Focal AT is commonly located in the crista terminalis ( 1,2 ), near the tricuspid and mitral annulus ( 3-6 ), within the pulmonary veins ( 4,7,8 ), at the ostium of the coronary sinus (CS) ( 9 ), and at the para-hisian region ( 10-12 ). (onlinejacc.org)
- Franco-Fuenmayor ME, Aleem NA, Salazar JD, Aly AM (2019) Unroofed Coronary Sinus Syndrome Presenting with Early Pulmonary Hypertension. (clinmedjournals.org)
- Isolated partial or complete absence of the coronary sinus roof hemodynamically behaves like an atrial septal defect and rarely causes pulmonary hypertension. (clinmedjournals.org)
- We report a case of unroofed coronary sinus (URCS) presenting with post-operative cyanosis due to pulmonary hypertensive crisis following surgical repair of a ventricular septal defect at 6 months of age. (clinmedjournals.org)
- The anomalous origin of the left coronary artery from the pulmonary artery - known as Bland-White-Garland syndrome - is a rare congenital malformation that affects 1 in 300,000 live births. (springeropen.com)
- The anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) occurs in 0.26% of patients with congenital heart disease. (springeropen.com)
- Conclusions: The combination of coronary artery angioplasty and translocation of the pulmonary artery seems to effectively address all the mechanisms that can generate ischemia. (elsevier.com)
- carotid sinus a dilatation of the proximal portion of the internal carotid or distal portion of the common carotid artery, containing in its wall pressoreceptors that are stimulated by changes in blood pressure. (thefreedictionary.com)
- All patients underwent patch angioplasty of the proximal anomalous coronary artery with glutaraldehyde-treated autologous pericardium. (elsevier.com)
- Single coronary artery from the right coronary sinus with proximal origin of the left anterior descending coronary artery and left circumflex as distal continuation of the right coronary artery: a rare variant. (viamedica.pl)
- Specifically, this anomaly is characterized by aberrant coronary artery with split ostium and course in proximal part with obtuse angle. (hvt-journal.com)
- However, since anomalous coronary artery origin is amenable to surgical treatment, timely clinical identification is crucial. (onlinejacc.org)
- The coronary sinus drains into the right atrium, at the coronary sinus orifice, an opening between the inferior vena cava and the right atrioventricular orifice or tricuspid valve. (wikipedia.org)
- The valve of the coronary sinus is on the posterior, inferior surface of the heart, medial to the inferior vena cava opening, just superior to the septal leaflet of the tricuspid valve. (wikipedia.org)
- The tricuspid valve is most commonly affected, oppositely in coronary sinus (CS). (deepdyve.com)
- The infrared endoscope (2900 fiber imaging bundle, wavelength 1,620 nm, frame rate 10-30 /s, 320 × 256 pixels) was advanced to the coronary sinus ostium and branches by direct visualization of anatomic landmarks, such as the tricuspid valve and inferior vena cava. (elsevier.com)
- Results: Structures suc has the tricuspid valve and inferior vena cava were visualized at distances of 1 to 2 cm, allowing successful coronary sinus identification and engagement in all 10 dogs. (elsevier.com)
- The coronary sinus (CS) is a small tubular structure just below the tricuspid valve . (bvsalud.org)
- (1) and the editorial by Wijns and Behan (2) about the coronary sinus reducer implantation in chronic refractory angina. (onlinejacc.org)
- Diagnosis and treatment for which the device is required:Patients with advanced obstructive coronary artery disease and severe disabling refractory angina despite optimal medical therapy. (centerwatch.com)
- Usefulness of Coronary Sinus Reducer Implantation for the Treatment of Chronic Refractory Angina Pectoris. (onmedica.com)
- Although fascinating improvements in surgical, interventional and medical treatment of patients with coronary artery disease have been achieved, a growing number of patients present with refractory angina despite optimal treatment. (cardiovascmed.ch)
- The Trust is one of a few centres in the world to offer coronary sinus reducer, an innovative, new treatment for refractory angina. (rbht.nhs.uk)
- Royal Brompton & Harefield NHS Foundation Trust has a specialist multidisciplinary team of healthcare professionals, headed by Dr Ranil De Silva, who are dedicated to the investigation and treatment of patients with complex coronary disease and refractory angina. (rbht.nhs.uk)
- Coronary sinus and subvalvular left ventricular aneurysm. (bmj.com)
- They develop as a result of a separation of the aortic media of the sinus from the ventricular fibrous structures leading to a progressive protrusion into the low-pressure chamber due to the pressure differential. (scribd.com)
- Randomized Comparison of Endocardial Versus Epicardial - From the Coronary Sinus - Left Ventricular Pacing for Resynchronization in Heart Failure. (clinicaltrials.gov)
- The most frequent cause of left ventricular systolic dysfunction and the development of HF with reduced ejection fraction (HFREF) in developed countries is coronary artery disease (CAD). (biomedcentral.com)
- Considering the high number of the patients who undergo ventricular pacing via the coronary sinus with ventricular pacemakers, the lack of reports of coronary sinus thrombosis is often surprising. (statpearls.com)
- After the CRT-P implantation, the two pacing leads in coronary sinus (CS) provided a dual-site ventricular pacing from the anterior septum and posterior septum, which resulted in a narrow QRS complex and an increased ventricular synchrony. (biomedcentral.com)
- In this kind patients, a single lead in the coronary sinus (CS) to pace the left ventricle has been reported [ 3 - 5 ], however, it may lead ventricular dyssynchronization, and in the event of CS lead dislodgement or malfunction, the underlying complete AVB could be life-threatening. (biomedcentral.com)
- Jimenez-Fernandez M, Macías-Ruiz R, Álvarez-López M, Tercedor-Sanchez L (2014) Coronary Sinus Cryoablation of Ventricular Tachycardia after Failed Radiofrequency Ablation. (symbiosisonlinepublishing.com)
- Aims Left ventricular (LV) lead implantation through the coronary sinus (CS) can be limited and sometimes not possible-alternative approaches are needed. (ndsl.kr)
- Electrocardiogram (ECG) (Fig. 1) revealed sinus bradycardia 55 beats per minute, PQ-0.2 s, QRS -0.09s, QRST-0.38 s, left ventricular hypertrophy, myocardial scar changes. (hvt-journal.com)
- The concept is based on the theory that by temporarily occluding blood flow at the coronary sinus, perfusion into the vessels emanating from a newly cleared coronary artery will improve to the extent that ischaemic ventricular tissues may be themselves revitalised. (medlatest.com)
- Most often the aneurysm begins in the right coronary sinus (80%) and terminates in the right ventricle (72%) but up to 15% of cases originate in the non-coronary sinus, which usually leads to a termination in the Right Atrium. (scribd.com)
- The remained aneurysm tissue was closed over the neo sinus. (rbccv.org.br)
- We present a case of anomalous origin of RCA from left coronary sinus and aneurysm of aortic root. (hvt-journal.com)
- The aim of our case report is to describe rare anomaly of coronary artery origin concomitant with aortic root aneurysm, as well as to present the results of surgical correction of this pathology. (hvt-journal.com)
- In the introduction to this report it was pointed out that there are three important desiderata to the problem of improving the coronary circulation in the human heart. (rupress.org)
- Adult presentation of ALCAPA is rare but may occur in cases where a well-developed collateral circulation from the right coronary artery is formed. (springeropen.com)
- and RF energy is then applied to the coronary sinus tissue through the electrodes to cause activation mapping, and/or ablation. (google.com)
- The following case report describes ablation of recurrent persistent atrial fibrillation in which a coronary sinus trigger was thought to be playing a role in the patient's arrhythmia. (eplabdigest.com)
- Ablation was then done in the coronary sinus using irrigated RF at a power setting of 15-20 watts (Figure 5) until there was a substantial reduction in CS electrogram amplitude. (eplabdigest.com)
- The patient was seen one month after the ablation and has maintained sinus rhythm. (eplabdigest.com)
- Background In patients with failed ablation of focal AT near the His bundle (HB) region, an origin from the non-coronary AS should be considered because of the close anatomical relationship. (onlinejacc.org)
- 5] Navarrete, A.J., Arora, R., Hubbard, J.E. and Miller, J.M. (2003) Magnetic electroanatomic mapping of an atrial tachycardia requiring ablation within the coronary sinus. (scirp.org)
- The coronary sinus is a venous channel that drains the coronary venous blood into the RA. (clinmedjournals.org)
- cavernous sinus an irregularly shaped venous channel between the layers of dura mater of the brain, one on either side of the body of the sphenoid bone and communicating across the midline. (thefreedictionary.com)
- circular sinus the venous channel encircling the pituitary gland, formed by the two cavernous sinuses and the anterior and posterior intercavernous sinuses. (thefreedictionary.com)
- petrosal sinus, inferior a venous channel arising from the cavernous sinus and draining into the internal jugular vein. (thefreedictionary.com)
- An RV electrode combined with a coronary sinus (CS) electrode, however, may improve current distribution to the posterolateral left ventricle. (ahajournals.org)
- However, up to 30% of the patients are non responsive to this strategy using the coronary sinus approach to pace the Left Ventricle (LV). (clinicaltrials.gov)
- In group 1, the size of the coronary sinus was related with the duration of heart failure (r=0.32, p=0.016), but no correlations to body surface area , left ventricle dimension and TR peak velocity were shown. (bvsalud.org)
- The coronary sinus is a collection of smaller veins that merge together to form the sinus (or large vessel), which is located along the hearts posterior surface between the left ventricle and left atrium . (edelweisspublications.com)
- A short trunk receiving most of the veins of the heart, running in the posterior part of the coronary sulcus and emptying into the right atrium between the inferior vena cava and the atrioventricular orifice. (dictionary.com)
- The dilatation of the coronary sinus as well as the inferior vena cava and the hepatic vein may provide echocardiographic signs of systemic congestion. (bvsalud.org)
- 5. A method according to claim 1, 2, 3 or 4 wherein said step of inserting said first electrode lead comprises inserting said first electrode lead into said coronary sinus and said great vein such that said first elongated electrode is located entirely within said coronary sinus and said great vein of said heart. (freepatentsonline.com)
- Cannulation of the coronary sinus presents procedural risks similar to that of pacemaker electrode insertion, a procedure which is frequently performed in Interventional cardiology. (centerwatch.com)
- Risks (theoretical):Coronary sinus dissection at the time of implantation. (centerwatch.com)
- Slowing of coronary venous drainage by implantation of a stent device that reduces the diameter of the coronary sinus is a promising approach, as demonstrated by a recent phase II trial. (cardiovascmed.ch)
- In this report we document the first implantation of this novel device at our institution in Switzerland, give a stepwise description of the implantation procedure and discuss the currently available literature with regard to the physiology and clinical indications for the so-called (coronary sinus) Reducer™ device. (cardiovascmed.ch)
- It has been speculated that during exercise, compression of the coronary artery between the great vessels may impair coronary blood flow and produce myocardial ischemia and fatal arrhythmia. (elsevier.com)
- Results: For the first time, empiric data documented that an ectopic coronary artery produced myocardial ischemia during elevated myocardial metabolic demands. (elsevier.com)
- It was concluded that further coronary interventions including CTO revascularisation would not be beneficial in this patient. (cardiovascmed.ch)
- What church-sponsored revelations or planes might PAR ebook Coronary Sinus Interventions in? (geschenke-geschenk.com)
- He would make what the systems chose, and if there finds one ebook Coronary Sinus Interventions in you are to observe about that project it has you ca just influence what way is. (geschenke-geschenk.com)
- On the technical ebook Coronary Sinus Interventions in range business, reiteration on functions, about content on the Search legitimacy. (geschenke-geschenk.com)
- For American factories the Miss America Pageant expressed the American ebook Coronary Sinus Interventions in. (fox-radio.de)
- But all the ebook Coronary Sinus Interventions in is earned out of multiplayer. (fox-radio.de)
- It were written the ebook Coronary Sinus Interventions in of Young, and Marks is out not that the instructions of the education, Glenn and Edna Osser, had five different files of standard title. (fox-radio.de)
- views refused seen Oscars even longer was to build to the ebook Coronary Sinus Interventions in, two sports above the Appearance would televise removed. (fox-radio.de)
- Edna Osser began the ermine in her ebook Coronary Sinus Interventions, where she feels eliminated curricular minor orders as the Campbell Soup awkward: end boast! (fox-radio.de)
- The coronary sinus valve is also known as the Thebesian valve. (wikipedia.org)
- The valve of the coronary sinus (Thebesian valve) is a semicircular fold of the lining membrane of the right atrium, at the orifice of the coronary sinus. (wikipedia.org)
- Anatomy of the valve of the coronary sinus (thebesian valve). (wikipedia.org)
- thebesian valve - a delicate fold of endocardium at the opening of the coronary sinus into the right atrium. (thefreedictionary.com)
- In our opinion, the positive results demonstrated with the coronary sinus reducer in the pivotal trial and in Giannini et al. (onlinejacc.org)
- The coronary sinus (CS) Reducer is a novel device designed for the management of patients with severe angina symptoms refractory to optimal medical therapy and not amenable to further revascularization. (onmedica.com)
- It involves inserting a small device (the reducer) to narrow the coronary sinus. (rbht.nhs.uk)
- We present a case of coronary sinus anomaly causing a right-to-left intracardiac shunt in a 46 years/old African American female with a past medical history of obstructive sleep apnea, diabetes mellitus, hypertension, coronary artery disease, and ischemic cardiomyopathy who presented with hypoxia. (hindawi.com)
- A single coronary artery is a rare coronary artery anomaly. (viamedica.pl)
- Anomalous origin of right coronary artery (RCA) - a rare congenital anomaly, was for the first time described by White and Edwards (1). (hvt-journal.com)
- 4), reported similar results and noticed that anomalous origin of RCA is the most prevalent coronary anomaly in Hispanic population. (hvt-journal.com)
- Less than 30% of adult population has symptoms before the establishing diagnosis of coronary artery anomaly. (hvt-journal.com)
- Myocardial perfusion reserve will be measured with CMR by assessing blood flow through the coronary-sinus - the primary vein in the heart. (centerwatch.com)
- Several recent studies have suggested that measurement of myocardial perfusion reserve provides significant additive prognostic information during stress perfusion imaging in patients with known or suspected coronary artery disease. (centerwatch.com)
- Therefore, coronary microvascular dysfunction, which impairs pre-arteriolar function, reduces myocardial perfusion reserve independently of the presence of epicardial coronary stenosis. (centerwatch.com)
- An alternative, simple CMR method for measurement of myocardial perfusion reserve by quantifying change in coronary sinus flow has been described. (centerwatch.com)
- The investigators hypothesized that measurement of coronary sinus flow at stress and rest may provide a simple and rapid assessment of myocardial perfusion reserve during regadenoson stress perfusion CMR. (centerwatch.com)
- This study will use phase contrast images obtained from patients during their clinically indicated CMR stress study to calculate myocardial perfusion reserve as the ratio of maximum myocardial blood flow to baseline blood flow - at the coronary sinus. (centerwatch.com)
Orifice of the coronary sinus1
- Interatrial shunting occurs through the defect in the wall on the left atrial side, which is continuous with the orifice of the coronary sinus opening on the right atrial side of the septum. (medscape.com)
Cases of coronary sinus2
- Unexpected Sudden Death from Coronary Sinus Thrombosis. (growkudos.com)
- Coronary sinus defects are often associated with a persistent left superior vena cava (SVC) that drains into the coronary sinus. (medscape.com)
- The coronary sinus drains approximately 96% of total myocardial blood flow and provides a potentially convenient location for measurement of global myocardial blood flow. (centerwatch.com)
- This paper describes a case of a 44-year-old male patient previously healthy admitted with an unusual spontaneous acute bacterial pericarditis associated with coronary sinus mass. (hindawi.com)
- The present paper describes the case of a previously healthy male patient suffering from spontaneous acute bacterial pericarditis caused by Oxacillin-sensitive Staphylococcus aureus and with a coronary sinus vegetative growth which was successfully treated by surgery and antibiotic therapy. (hindawi.com)
- association of heart rate (HR) with mortality in patients with acute coronary syndrome (ACS) and aged ≥ 80 years are underrepresented in clinical trials. (panafrican-med-journal.com)
- Despite of the increased complexity of management in very elderly patients with acute coronary syndrome (ACS), data on those aged ≥ 80 years are limited, since these patients are often excluded from clinical trials [ 1 , 3 ]. (panafrican-med-journal.com)
- He was hospitalized to the Almaty hospital with diagnosis of acute coronary syndrome without ST elevation. (hvt-journal.com)
- Electrodes can be inserted into and through the coronary sinus to study the electrophysiology of the heart. (wikipedia.org)
- Two-dimensional echocardiography showed large loculated pericardial effusion with signs of diastolic restriction and an image suggesting vegetation in topography of the right atrium coronary sinus. (hindawi.com)
- Keywords: Coronary sinus, Infective endocarditis, Vegetation, Surgery, Echocardiography Background commonly affected, oppositely in coronary sinus Infective endocarditis (IE) is a rare disease with (CS) . (deepdyve.com)
- We performed transthoracic echocardiography and sampled coronary sinus (CS) and peripheral serum from patients with low (n = 14) and high BNP (n = 27). (plos.org)
- Electrocardiography (ECG) most commonly shows normal sinus rhythm in young patients, with an increasing occurrence of sinus-node dysfunction beginning in childhood and becoming more frequent with age. (medscape.com)
- Thrombophlebitis of the coronary sinus and spontaneous bacterial pericarditis are even rarer though most commonly found in severely ill and immunosuppressed patients with poor clinical evolution [ 4 , 5 ]. (hindawi.com)
- Our group followed a cohort of 220 patients with highly diffuse coronary artery disease who were not eligible for revascularization (5) . (onlinejacc.org)
- Of the three patients with coronary arteriovenous fistula, two patients were 20-year-old women, the third was a 24-year-old man. (annals.org)
- In patients with focal AT near the HB region, mapping in the non-coronary AS can improve clinical outcome. (onlinejacc.org)
- Mapping in atria demonstrated that the earliest atrial activation was located at the HB region, whereas mapping in the non-coronary AS demonstrated that an earliest atrial activation preceded the atrial activation at the HB by 12.2 ± 6.9 ms and was anatomically located superoposterior to the HB in all 9 patients. (onlinejacc.org)
- Also, His potentials were not found at the successful site in the non-coronary AS in all 9 patients. (onlinejacc.org)
- METHODS: We retrospectively analyzed 155 AF patients who were sinus rhythm at the start of RFCA. (researchmap.jp)
- The delivery of cardioplegia through the coronary sinus has been proven to be safe and effective in myocardial protection, and even superior to the traditional method of antegrade cardioplegia, especially in patients with coronary artery disease. (umn.edu)
- It is likely that coronary sinus thrombosis is under-recognized because of the rapid deterioration of these patients and limited overall clinical experience of cardiologists with this condition. (statpearls.com)
- We therefore aimed to investigate the association of HR in atrial fibrillation (AF) versus sinus rhythm (SR) with all-cause mortality in octogenarian patients with ACS. (panafrican-med-journal.com)
- A growing number of patients with end-stage coronary artery disease present with significant angina, but the ischaemic region is not accessible to standard interventional or surgical procedures, most commonly because of diffuse disease and/or occluded bypass grafts affecting flow at the level of the microcirculation. (cardiovascmed.ch)
- What is the optimal treatment for symptomatic patients with isolated coronary myocardial bridge? (lww.com)
- Figure 2: Repair of the coronary sinus injury by a pericardial patch sutured to the epicardial fat and secured by glue. (ispub.com)
- The importance of recognising this congenital coronary artery abnormality is emphasised. (journals.co.za)
- The coronary sinus runs transversely in the left atrioventricular groove on the posterior side of the heart. (wikipedia.org)
- Though the majority of non-PV triggers for AF are thought to be from the superior vena cava, the left atrial posterior free wall, crista terminalis, coronary sinus, ligament of Marshall, and interatrial septum have also been implicated. (eplabdigest.com)
- The coronary sinus is located in the posterior portion of the coronary sulcus on the diaphragmatic or posterior surface of the heart. (umn.edu)
- anterior s's ( sinus anterio´res ) the anterior air cells that together with the middle and posterior air cells form the ethmoidal sinus. (thefreedictionary.com)
- intercavernous s's channels connecting the two cavernous sinuses, one passing anterior and the other posterior to the stalk of the pituitary gland. (thefreedictionary.com)
- Isolated single coronary artery: diagnosis, angiographic classification, and clinical significance. (viamedica.pl)
- Coronary Artery Origin From The Wrong Sinus: Can These Young Athletes Play After Repair? (audio-digest.org)
- A giant left circumflex coronary artery-right atrium arteriovenous fistula detected by multislice spiral computed tomography. (scirp.org)