Valve of coronary sinus

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Valve of the coronary sinus
Gray493.png
Interior of right side of heart. (Valve of the coronary sinus labeled at bottom left.)
Details
Identifiers
Latin valvula sinus coronarii
TA98 A12.1.01.016
TA2 4030
FMA 9242
Anatomical terminology

In the anatomy of the heart, the valve of the coronary sinus (also called the Thebesian valve, after Adam Christian Thebesius [1] [2] [3] ) is a valve located at the orifice of the coronary sinus where the coronary sinus drains into the right atrium. [4] It prevents blood from flowing backwards into the coronary sinus during contraction of the heart.

Contents

Anatomy

The valve of the coronary sinus is a thin, semilunar (half-moon-shaped) valve located on the anteroinferior part of the opening into the right atrium. [5] It is formed by as semicircular fold of the lining membrane of the right atrium. It is situated at the base of the inferior vena cava.[ citation needed ]

Variation

The valve may be completely absent; [6] it is present in 73-86% of individuals. [7]

The valve may vary in size. [6] It may be double, or it may be cribriform (containing numerous small holes).[ citation needed ]

Function

The valve prevents regurgitation of blood into the sinus during systole (i.e. the contraction of the atrium). [4]

Related Research Articles

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<span class="mw-page-title-main">Vein</span> Blood vessels that carry blood towards the heart

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Coronary circulation is the circulation of blood in the arteries and veins that supply the heart muscle (myocardium). Coronary arteries supply oxygenated blood to the heart muscle. Cardiac veins then drain away the blood after it has been deoxygenated. Because the rest of the body, and most especially the brain, needs a steady supply of oxygenated blood that is free of all but the slightest interruptions, the heart is required to function continuously. Therefore its circulation is of major importance not only to its own tissues but to the entire body and even the level of consciousness of the brain from moment to moment. Interruptions of coronary circulation quickly cause heart attacks, in which the heart muscle is damaged by oxygen starvation. Such interruptions are usually caused by coronary ischemia linked to coronary artery disease, and sometimes to embolism from other causes like obstruction in blood flow through vessels.

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A baffle is a surgically created tunnel or wall within the heart or major blood vessels used to redirect the flow of blood. They are used in some types of heart abnormalities that a child is born with known as congenital heart defects. Baffles are usually constructed, at least in part, from a person's own heart tissue, while other methods of redirecting blood using artificial material are known by the more generic term 'conduits'. Baffle does not refer to surgical techniques that redirect blood outside the heart or blood vessels such as coronary artery bypass grafting.

<span class="mw-page-title-main">Shepherd's crook</span> Tool for managing livestock

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<span class="mw-page-title-main">Persistent left superior vena cava</span> Medical condition

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<span class="mw-page-title-main">Valve of inferior vena cava</span>

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The heart is a muscular organ situated in the mediastinum. It consists of four chambers, four valves, two main arteries, and the conduction system. The left and right sides of the heart have different functions: the right side receives de-oxygenated blood through the superior and inferior venae cavae and pumps blood to the lungs through the pulmonary artery, and the left side receives saturated blood from the lungs.

Raghib syndrome is rare a congenital heart defect where the left superior vena cava (LSVC) is draining into the left atrium in addition to an absent coronary sinus and an atrial septal defect. This can be considered a dangerous heart condition because it puts the individual at a high risk of stroke. Other defects that are often associated with Raghib syndrome can include ventricular septal defects, enlargement of the tricuspid annulus, and pulmonary stenosis. While this is considered an extremely rare developmental complex, cases regarding a persistent left superior vena cava (PLSVC) are relatively common among congenital heart defects. It is also important to note that the PLSVC often drains into the right atrium, and only drains into the left atrium in approximately 10 to 20% of individuals with the defect.

References

PD-icon.svgThis article incorporates text in the public domain from page 531 of the 20th edition of Gray's Anatomy (1918)

  1. synd/4012 at Who Named It?
  2. A. C. Thebesius. Disputatio medica inauguralis de circulo sanguinis in corde. Doctoral dissertation, Leiden, 1708.
  3. Loukas M, Clarke P, Tubbs RS, Kolbinger W (2007). "Adam Christian Thebesius, a historical perspective". International Journal of Cardiology. 129 (1): 138–40. doi:10.1016/j.ijcard.2007.06.048. PMID   17692957.
  4. 1 2 Wilson, Alexander; Bhutta, Beenish S. (2022), "Anatomy, Thorax, Coronary Sinus", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID   32491498 , retrieved 2023-01-05
  5. Shah, Sanket S.; Teague, Shawn D.; Lu, Jimmy C.; Dorfman, Adam L.; Kazerooni, Ella A.; Agarwal, Prachi P. (July 2012). "Imaging of the Coronary Sinus: Normal Anatomy and Congenital Abnormalities". RadioGraphics. 32 (4): 991–1008. doi:10.1148/rg.324105220. ISSN   0271-5333. PMID   22786990.
  6. 1 2 P. Felle, J. G. Bannigan. Anatomy of the valve of the coronary sinus (thebesian valve). Clinical Anatomy. Vol. 7 (1), 10-12. Abstract
  7. Shah, Sanket S.; Teague, Shawn D.; Lu, Jimmy C.; Dorfman, Adam L.; Kazerooni, Ella A.; Agarwal, Prachi P. (July 2012). "Imaging of the Coronary Sinus: Normal Anatomy and Congenital Abnormalities". RadioGraphics. 32 (4): 991–1008. doi:10.1148/rg.324105220. ISSN   0271-5333. PMID   22786990.