A prominent coronary Thebesian system

A prominent coronary Thebesian system.

short-acting thrombolysis and immediate planned rescue angioplasty in acute myocardial infarction: the PACT trial. PACT investigators. Plasminogen-activator Angioplasty Compatibility Trial. J Am Coll Cardiol 1999;34:1954–1962. 30. Widimsky P, Groch L, Zelizko M, Aschermann M, Bednar F, Suryapranata H. Multicentre randomized trial comparing transport to primary angioplasty vs immediate thromboly...

A Clinically Silent Case of Prominent Thebesian System: Diagonal Branch of Left Anterior Descending Coronary Artery to Left Ventricular Communication

Fistulous communication from the coronary artery to the left ventricle (LV) is extremely rare and has received little attention in the literature. Moreover, a case of coronary artery fistula (CAF) from a diagonal branch of the left anterior descending coronary artery to the LV has been reported only once in the literature. Herein, we report a case of CAF from a diagonal branch of the left anter...

Thebesian valve: the cause of unsuccessful retrograde coronary sinus cannulation

A significant 'coronary steal' by thebesian veins, a rare congenital coronary defect masquerading as acute coronary syndrome.

To cite: Alam R, Skehan J, Gunarathne A. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014208880 DESCRIPTION A 72-years-old woman presented with intermittent chest pains, anterolateral T-wave inversions on ECG and troponin-T of 6290 ng/L. Acute coronary syndrome treatment was initiated. The coronary angiography demonstrated tortuous calcified coronaries without...

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

AIMS 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. METHODS AND RESULTS We examined 273 autopsied human hearts. The height of ...