Anatomy of the valve of the coronary sinus (thebesian valve)

Felle, P.; Bannigan, John

doi:10.1002/ca.980070103

Cited by 14 publications

(5 citation statements)

References 3 publications

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“…Although held to prevent regurgitation, it has been argued that the valves do not perform this function (Felle and Bannigan, 1994). The larger valves have their own names, and hence are well described.…”

Section: Coronary Venous Valvesmentioning

confidence: 99%

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Cardiac veins: A review of the literature

Loukas

Bilinsky

et al. 2008

Clinical Anatomy

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Cardiac veins have long stood in the shadow of their more extensively studied counterparts, the coronary arteries. The clinical importance of the coronary venous system, nonetheless, should not be underestimated. Intricate and beneficial therapeutic options are increasingly being developed that depend on knowledge of the structure of this venous network. Such interventions have been shown greatly to promote cardiac health, and to enhance the efficacy of cardiac pacing. A comprehensive appreciation of the architecture of the coronary venous system, therefore, is crucial to optimal cardiac care. It is possible to provide an overview of the arrangement of the cardiac veins, with the larger veins draining to the coronary sinus, and thence to the right atrium, but with smaller and minimal veins draining directly to the cavities of the atrial chambers. The venous pathways, nonetheless, are highly variable, making exceptions the commonly accepted rule. As such, unique solutions for imaging, and simple attentiveness to possible venous variations, can greatly enhance clinical outcomes. For example, identifying the diameter, course, and valves of the cardiac veins allows for anticipation of impediments during interventional procedures, and allows for informed clinical decision-making. Also of significance is awareness of alternate arrangements that may be encountered in terms of venous drainage, and the importance of intramural venous collecting spaces in these patterns. The objective of our review, therefore, is to explore and describe the anatomical distribution of the coronary veins.

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Section: Coronary Venous Valvesmentioning

confidence: 99%

“…Most commonly semilunar, the Thebesian valve has also been described as the semilunar valve, albeit that this can be confusing when compared to the arterial valves (Malhotra et al, 1980;Piffer et al, 1990). The valve itself is lined with endothelium and often contains myocardial layers (Felle and Bannigan, 1994).…”

Section: Thebesian Valvementioning

confidence: 99%

Cardiac veins: A review of the literature

Loukas

Bilinsky

et al. 2008

Clinical Anatomy

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“…The valve may vary in size or be completely absent. 6 . It is clinically important because it is often an obstruction to catheters in 20% of patients.…”

Section: Coronary Sinus Anatomymentioning

confidence: 99%

Angiographic anatomy of the coronary sinus venous system in adult Kashmiri population

et al. 2019

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Background: Knowledge of the coronary sinus venous anatomy is an important factor because of its relevance in electrophysiological procedures such as chronic resynchronisation therapy, mapping and ablation of arrhythmias. The advent of advanced invasive and interventional cardiac treatment and management tools for common disorders like heart failure has made understanding of coronary sinus anatomy necessary. The aim was to study the angiographic anatomy of coronary sinus and its tributaries in adult Kashmiri population and provide anatomical basis for cannulation of coronary sinus and its tributaries.Methods: Authors analysed the levophase angiogram of 150 subjects undergoing routine coronary angiography in the right anterior oblique and left anterior oblique view with the necessary caudal or cranial angulations.Results: The coronary sinus was formed by the union of GCV+LMV in 93.3% of subjects and by the union of GCV+PLV in 6.7% of subjects. The GCV and the MCV were the most consistent tributaries present in all the subjects. The mean length of CS was 71.70±9.7 mm when it was formed by GCV+LMV and 70.18±14.98 mm in case of GCV+PLV. The diameter of the CS ostium was 8.48±1.21mm. The mean diameter of GCV was 2.90±1.24 mm, MCV was 2.76±1.08 mm, LMV was 2.23±0.51 mm and the PLV was 2.25±0.53 mm. The opening angle of GCV was obtuse in all the cases, MCV drained at an acute angle in 62% subjects and LMV draining angle was acute in 31.33% cases. The valve of the CS was present in 32.7% subjects and absent in 67.3% subjects. The tortuosity was absent in 75.3%. The distance between CS ostium and the ostium of the vein ideal for lead implantation was between 10-40 mm in 76% subjects.Conclusions: The basic knowledge of coronary sinus and its tributaries play a significant role during electrophysiological procedures. The data obtained from the study can be utilised by interventional cardiologist for cannulation of coronary sinus in Kashmiri population.

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“…The coronary sinus, the main venous channel of the heart, empties into the right atrium through an opening that is partially guarded by an incompetent valve, the thebesian valve named after Adam Christian Thebesius 8,32 . The valve, which always contains muscle fibers, varies in its extent from a flap that covers the ostium of the coronary sinus to a few strands of tissue 33 . Numerous anatomical variations of the valve have been described 34 .…”

Section: Thebesian Valvementioning

confidence: 99%

Normal Anatomic Variants on Transthoracic Echocardiogram

et al. 2009

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Apart from their existence as medical curiosities, anatomic variants also double as diagnostic dilemmas. In the heart, more than in any other location in the body, misinterpretation of normal anatomic variants as pathologic entities can have a profound impact on treatment decisions and clinical consequences. Echocardiography is an easily accessible tool these days and is used routinely in most cardiac evaluations. Thus it becomes imperative for the echocardiographer to be cognizant of normal anatomic variants. Furthermore, echocardiographic findings should always be evaluated in their proper clinical context and diagnoses should never be entertained in a clinical vacuum. The literature is replete with numerous case reports and vignettes on these fascinating structures but is lacking in a formal review of normal anatomic variants. In this article, we have attempted a systemic review of normal variants, their embryologic origins, echocardiographic characteristics, and common pitfalls encountered in their evaluation.

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Anatomy of the valve of the coronary sinus (thebesian valve)

Cited by 14 publications

References 3 publications

Cardiac veins: A review of the literature

Cardiac veins: A review of the literature

Angiographic anatomy of the coronary sinus venous system in adult Kashmiri population

Normal Anatomic Variants on Transthoracic Echocardiogram

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