The Valve of Vieussens: An Important Cause of Difficulty in Advancing Catheters into the Cardiac Veins

Corcoran, Susan J.; Lawrence, Christopher; McGuire, Mark A.

doi:10.1111/j.1540-8167.1999.tb00260.x

Cited by 52 publications

(36 citation statements)

References 2 publications

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“…These procedures are well known for their potential technical difficulties. Coronary sinus cannulation by conventional deflectable 7-F catheter has been reported by Corcoran et al to have been obstructed by the Vieussens valve in 46% of the cases [14]. Our results could not support these findings having shown a well-developed Vieussens valve in only 15% of cases.…”

Section: Coronary Sinus Interventioncontrasting

confidence: 44%

“…Although variable prevalence of the Vieussens valve has been published, in 57%, 59% and 65% of cases [1,16,17], in none of these reports has an incidence as high as 46% for the presence of a developed valve been documented. Another explanation of the technical difficulty for coronary sinus cannulation is the possible flexing of the great cardiac vein [14]. Our results may provide anatomical basis for such a suggestion.…”

Section: Coronary Sinus Interventionmentioning

confidence: 65%

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The coronary sinus conduit function: Anatomical study (relationship to adjacent structures)

El-Maasarany¹,

Ferrett²,

Firth³

et al. 2005

Europace

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This study demonstrates an intimate proximity between the coronary sinus, at its beginning and end, and the mitral valve annulus. It also highlights the close relationship between the great cardiac vein, the annulus and the left ventricular free wall. Assessing the same relationship using the currently available imaging techniques should aid in the successful cannulation of the coronary sinus for various cardiological interventions.

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Section: Coronary Sinus Interventioncontrasting

confidence: 44%

Section: Coronary Sinus Interventionmentioning

confidence: 65%

The coronary sinus conduit function: Anatomical study (relationship to adjacent structures)

El-Maasarany¹,

Ferrett²,

Firth³

et al. 2005

Europace

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“…At this site, the valve of Vieussens is often present, which is an important cause of problems advancing the catheter into cardiac veins (8). In the current study, the vein of Marshall was observed in only 13 patients (34%).…”

mentioning

confidence: 51%

Noninvasive visualization of the cardiac venous system using multislice computed tomography

Jongbloed

Lamb

Bax

et al. 2005

Journal of the American College of Cardiology

226

119

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“…There are frequently valves of Vieussens at this location. These valves may pose difficulty in directing and passing the catheter into the cardiac veins (28). It is hard to visualize the vein of Marshall compared to other veins in CT studies, requiring special care and thorough examination.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the coronary venous system by using cardiac CT

Genç

Solak²,

Şahin³

et al. 2013

Diagn Interv Radiol

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ORIGINAL ARTICLE PURPOSE We aimed to investigate the coronary venous system and its variations by using dual source computed tomography (CT). MATERIALS AND METHODSRetrospective assessment was carried out on 339 patients who underwent coronary CT angiography using 128-slice dual source CT for suspected coronary artery disease. The examinations were performed according to routine imaging protocols used to evaluate coronary arteries. The coronary venous system was evaluated in each case using maximum intensity projection and volume rendering technique multiplanar reformation reconstructions. In each patient, the presence and calibration of normal anatomy, as well as the variations of the coronary sinus, middle cardiac vein, small cardiac vein, posterior cardiac vein, great cardiac vein, anterior interventricular vein, posterolateral vein, left marginal vein, and anterolateral vein were recorded. RESULTSThe coronary sinus, middle cardiac vein, great cardiac vein, and anterior interventricular vein were visualized in all of the patients. In all cases, one of the lateral or posterolateral veins of appropriate localization and diameter for cardiac resynchronization therapy was detected. The posterior cardiac vein was visualized in 87% of the cases, the left marginal vein in 87.9%, and the small cardiac vein in 20%. There was no significant difference in the diameters or visibilities of the coronary veins in terms of age. CONCLUSIONThe coronary venous system and its tributaries may be examined in detail using CT angiography examination performed according to the routine coronary CT angiography protocol used for dual source CT. Dual source CT may be a valuable tool for evaluation of the coronary veins prior to invasive procedures that are directed at the coronary venous system.

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The Valve of Vieussens: An Important Cause of Difficulty in Advancing Catheters into the Cardiac Veins

Cited by 52 publications

References 2 publications

The coronary sinus conduit function: Anatomical study (relationship to adjacent structures)

The coronary sinus conduit function: Anatomical study (relationship to adjacent structures)

Noninvasive visualization of the cardiac venous system using multislice computed tomography

Assessment of the coronary venous system by using cardiac CT

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