• 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...

A 56 year old man was admitted to our center for further evaluation of typical chest pain of ten months' duration. Selective coronary angiography was done and showed a sewing needle-like foreign body which was lying in very close proximity to the anatomic location of the right coronary artery. At operation two pieces of sewing needles were removed, one from the coronary sinus and the other...

The changes in endothelium-derived vascular regulatory factors during dobutamine (DOB)-induced myocardial ischemia (MI) were investigated in 21 patients with Kawasaki disease aged from 11 months to 18 years. They were classified into an ischemia group (8 patients) and a non-ischemia group (13 patients) based on the results of 99mTc myocardial scintigraphy and DOB stress 99mTc myocardial scintig...

Case report An 80-year-old man with an implanted resynchronization therapy pacemaker device was referred to our institution in October 2011 to perform a transvenous lead and generator removal for a severe pocket infection. As left ventricular pacing lead, an unipolar activefixation coronary sinus (CS) lead (Attain StarFix 4195OTW,Medtronic Inc.), positioned in a lateral coronary vein, had been ...

The ability to accurately monitor tidal volume (TV) from electrocardiographic (ECG) signals holds significant promise for improving diagnosis treatment across a variety of clinical settings. The objective of this study was to develop a novel method for estimating the TV from ECG signals. In 10 mechanically ventilated swine, we collected intracardiac electrograms from catheters in the coronary s...

A 15-year-old girl was admitted for repair of partially unroofed coronary sinus syndrome. A preoperative echocardiographic study disclosed the dilated coronary sinus and a draining blood flow into the right atrium from both the left atrium and the end of the coronary sinus. At surgery, the distal portion of the coronary sinus roof was found to be absent. The defect was repaired through the coro...

The selective administration of dopamine, norepinephrine, epinephrine and isoproterenol, into the coronary sinus region of the dog heart produced so-called coronary sinus rhythm, indicating the appearance of deep inverted P waves and frequently accompanied by an acceleration of pacemaker activity of the coronary sinus region. These effects of catecholamines were not influenced by atropine and t...

CARDIAC resynchronization therapy with the placement of a left ventricular pacing electrode in the coronary sinus has been shown to be an effective treatment in selected patients with symptomatic left ventricular dysfunction. Coronary sinus leads can be removed with relative ease because of their small diameter and relatively poor fixation mechanisms. However, removal of coronary sinus electrod...

Enhanced expression of tissue factor (TF) may result in thrombosis contributing to acute clinical consequences of coronary artery disease. Several studies demonstrated elevated plasma levels of TF in patients with acute coronary syndrome (ACS). The aim of our study was to compare the concentrations of TF in coronary sinus (CS), proximal part of the left coronary artery (LCA) and peripheral vein...

INTRODUCTION Latest techniques enable positioning of devices into the coronary sinus (CS) for mitral valve (MV) annuloplasty. We evaluate the feasibility of non-invasive assessment to determine CS anatomy and its relation to MV annulus and coronary arteries by multi-slice CT (MSCT) in normal and insufficient MV. METHODS Fifty patients (33 males, 17 females, age 67+/-11 years) were studied ret...