in this paper, we describe a case of an aneurysmal circumflex artery connected to the coronary sinus through a fistula in a 40-year-old man with a two-year history of palpitation and chest pain. we discussed surgical management for patients with coronary artery fistula (caf), particularly for asymptomatic patients with a small left-to-right shunt .

a 55-year-old man referred for cardiac resynchronization therapy (crt) due to severe heart failure. a severe stenosis in the coronary sinus vein after the posterior branch disallowed the insertion of the lead. nevertheless, the stenosis was dilated and the left ventricle (lv) lead was implanted in the lateral marginal branch.

transcatheter ablation of atrioventricular accessory pathway is the therapy of choice in symptomatic patients. the ablation of posteroseptal accessory pathways thas some important points due to its anatomical location. catheter ablation of posteroseptal accessory pathways via left side approach is time consuming with low success rate and higher complications. we performed successful transcathet...

conclusions the coronary sinus flow per minute is the most accurate parameter among the three echocardiographic parameters mentioned above for the assessment of significant stenosis of the coronary artery. results flow (ml/minute), flow/lvm (ml/minuteg) and lv (d-s) mass a-l all correlated significantly with the percentage of stenosis (r = -0.64, p < 0.001; r = -0.47, p < 0.001; r = -0.56, p < ...

we present a very rare case of partially unroofed coronary sinus without persistent left superior vena cava in a 74 years old female with a history of hypertension, severe myxomatous bileaflet mitral valve prolapse with severe eccentric mitral regurgitation which was diagnosed during cardiac surgery.

dissection of the sinus of valsalva is a rare and life-threatening event. it often occurs during percutaneous coronary intervention in the right coronary artery (rca). dissection flap usually involves the rca and the right sinus of valsalva. here we report two extremely rare cases of spontaneous dissection limited to the non-coronary sinus of valsalva, causing severe aortic valve regurgitation:...

An 8-month-old male with coronary sinus orifice atresia, left superior vena cava, and single ventricle underwent light-guided coronary sinus unroofing concomitant with bidirectional cavopulmonary anastomosis to circumvent coronary sinus hypertension. During surgery, a 2.25 Fr angioscopic catheter was inserted into the coronary sinus via the left superior vena cava. The coronary sinus, lit by th...

Coronary sinus occlusion retards necrosis of ischemic myocardium. To test the hypothesis that coronary sinus occlusion induces retrograde venoarterial flow, the coronary arteriovenous pressure gradient and the coronary arterial oxygen saturation were measured distal to a left anterior descending coronary artery ligature in dogs. In parallel, we constructed a mathematical model of known coronary...

• Coronary flow measurements in the intact animal and in man have been based principally on the amount of the coronary sinus drainage. Two assumptions are involved in the use of the coronary sinus drainage as an index of total and of left ventricular coronary flow: (1) The coronary sinus flow is a fixed percentage of total coronary flow, and (2) it represents all or a constant portion of the ve...