Anatomical variations of the coronary sinus valve (Thebesian valve): implications for electrocardiological procedures

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Mateusz K HołdaMałgorzata Mazur

Abstract

The Thebesian valve (TV) can be a significant obstacle to coronary sinus (CS) cannulation. The aim of this study was to evaluate the characteristic features of the CS valve--TV anatomy. In particular, emphasis was placed on identifying specific structures of the TV that could potentially complicate CS cannulation. We examined 273 autopsied human hearts. The height of the TV and the diameter of the CS were measured. The valves were classified according to their shape into five types: remnant, semilunar, fold, cord, and mesh and fenestrated. The mean transverse CS ostium (CSO) diameter was 12.2 ± 3.5 mm. The TV was present in 224 (82.1%) cases. The most common type of TV was semilunar: 32.6%; followed by remnant: 25.5%; fold: 17.4%; cord: 14.3%; and lastly mesh and fenestrated: 10.3%. The mean TV height for remnant-semilunar-fold types was 5.8 ± 3.0 mm. In seven cases, the present TV (2.6%) covered the entire orifice of the CS. Hearts with larger CSO diameter had lower TV height (P < 0.001). We propose a new classification of the TV shapes based on the largest sample to date. We assessed that only in 2.6% of all 273 cases the presence of an obstructive TV can cause unsuccessful cannulation. The height of the TV was inversely corr...Continue Reading

References

Jan 1, 1987·Surgical and Radiologic Anatomy : SRA·M von Lüdinghausen
Apr 1, 1951·Circulation·H K HELLERSTEIN, J L ORBISON
Dec 24, 2005·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Mustafa KaracaHulya Ucerler
Mar 21, 2006·Herzschrittmachertherapie & Elektrophysiologie·M AziziH Nägele
May 12, 2007·International Journal of Cardiology·Luc ChristiaensJoseph Allal
Jan 10, 2008·Pacing and Clinical Electrophysiology : PACE·D J AnhAmin Al-Ahmad
Apr 3, 2008·The Journal of International Medical Research·B PejkovićD Kosutić
Jul 10, 2009·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Gary S MakSubramaniam C Krishnan
Oct 7, 2009·Journal of Cardiovascular Electrophysiology·Apoor S GamiSamuel J Asirvatham
May 10, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Stephane NobleMarco Roffi
Aug 2, 2011·Pediatric Cardiology·Milind G ParikhRichard G Trohman
Aug 20, 2011·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Karuna Katti, Nikhil Prakash Patil
Oct 17, 2012·Journal of Cardiovascular Electrophysiology·Amit NoheriaSamuel J Asirvatham
Oct 31, 2012·Pacing and Clinical Electrophysiology : PACE·Arpandeep RandhawaDaisy Sahni
Feb 8, 2013·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Michael DöringChristopher Piorkowski

❮ Previous
Next ❯

Citations

Jan 30, 2016·PeerJ·Wiesława Klimek-PiotrowskaMarcin Strona
Jan 12, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Monish S RautSandeep Joshi
Aug 25, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Monish S RautSujay Shad
Feb 12, 2019·Pacing and Clinical Electrophysiology : PACE·Małgorzata MazurMateusz K Hołda
Jun 13, 2019·Journal of Cardiovascular Electrophysiology·Anna ŻabówkaMateusz K Hołda
Apr 18, 2021·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Sylwia Sławek-SzmytAleksander Araszkiewicz

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Anatolian Journal of Cardiology
Mateusz K HoldaWieslawa Klimek-Piotrowska
Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists
P M DoboszB Ciszek
© 2021 Meta ULC. All rights reserved