A 27-year-old male, admitted to hospital for a psoas muscle abscess secondary to Crohn's disease, suddenly died while in hospital. A medicolegal autopsy showed coronary sinus thrombosis. Coronary sinus thrombosis is rare and is usually associated with invasive cardiac procedures. Coronary sinus thrombosis associated with Crohn's disease has not been reported. Autopsy examination of the coronary...

Biventricular pacing has been considered for the treatment of congestive heart failure secondary to dilatative cardiomyopathy and intraventricular conduction blocks [1]. In the majority of reported cases, the left ventricular lead is positioned via the coronary sinus (CS) [2]. However, the positioning of a CS lead is not always possible, due to anatomical conditions such as coronary sinus valve...

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. 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 sin...

Dear Editor, We read with interest the article of Chou et al. (1). The authors reviewed the multidetector computed tomography (CT) findings of congenital coronary sinus anomalies and reported two cases of coronary sinus anomaly. We would like to share our observations, with respect to coronary sinus anomalies, with our colleagues. For better clinical outcomes, coronary venous variations should ...

BACKGROUND This study determined the histological features of the atrial myocardium connecting the coronary sinus and the left atrium in humans. METHODS AND RESULTS Ten necropsied hearts were studied by performing serial longitudinal sections parallel to the long axis of the coronary sinus that extended its full length using a large microtome. In all specimens, the venous wall of the coronary...

We present an important cause of wrong pacemaker lead placement in the left ventricle due to atrial septal defect. Early recognition of this error is important to prevent thromboembolic complications. A 62-year-old woman with no history of cardiac disease presented with a chief complaint of dizziness and pre-syncope. During her hospital admission, a long sinus pause of over 3 sec was recorded. ...

A 60 year old man with a history of frequent episodes of chest pain and dizziness was referred for evaluation of coronary artery disease. He had no significant coronary artery stenosis at baseline coronary angiography. A carotid sinus massage was performed for evaluation of carotid sinus hypersensitivity in the patient. Both heart rate and blood pressure decreased a little, and returned to base...

A 27-year-old man with a congenital heart disease consisting of a double inlet left ventricle s/p a classic Fontan palliation and oversewing of a regurgitant tricuspid valve in 1991 with enlargement of a bulboventricular foramen in 1997, transposition of the great arteries, subaortic stenosis, a left persistent superior vena cava (LSVC), and a hypoplastic mitral valve was followed up in an adul...