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 diastole (i.e. the contraction of the atrium). [4]

Related Research Articles

<span class="mw-page-title-main">Heart</span> Organ found inside most animals

The heart is a muscular organ in most animals. This organ pumps blood through the blood vessels of the circulatory system. The pumped blood carries oxygen and nutrients to the body, while carrying metabolic waste such as carbon dioxide to the lungs. In humans, the heart is approximately the size of a closed fist and is located between the lungs, in the middle compartment of the chest, called the mediastinum.

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

Veins are blood vessels in the circulatory system of humans and most other animals that carry blood toward the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are those of the pulmonary and fetal circulations which carry oxygenated blood to the heart. In the systemic circulation arteries carry oxygenated blood away from the heart, and veins return deoxygenated blood to the heart, in the deep veins.

<span class="mw-page-title-main">Coronary circulation</span> Circulation of blood in the blood vessels of the heart muscle (myocardium)

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.

<span class="mw-page-title-main">Mitral valve</span> Valve in the heart connecting the left atrium and left ventricle

The mitral valve, also known as the bicuspid valve or left atrioventricular valve, is one of the four heart valves. It has two cusps or flaps and lies between the left atrium and the left ventricle of the heart. The heart valves are all one-way valves allowing blood flow in just one direction. The mitral valve and the tricuspid valve are known as the atrioventricular valves because they lie between the atria and the ventricles.

<span class="mw-page-title-main">Tricuspid valve</span> One-way valve present between right auricle and right ventricle

The tricuspid valve, or right atrioventricular valve, is on the right dorsal side of the mammalian heart, at the superior portion of the right ventricle. The function of the valve is to allow blood to flow from the right atrium to the right ventricle during diastole, and to close to prevent backflow (regurgitation) from the right ventricle into the right atrium during right ventricular contraction (systole).

<span class="mw-page-title-main">Superior vena cava</span> One of two veinous trunks bringing deoxygenated blood back to the heart

The superior vena cava (SVC) is the superior of the two venae cavae, the great venous trunks that return deoxygenated blood from the systemic circulation to the right atrium of the heart. It is a large-diameter (24 mm) short length vein that receives venous return from the upper half of the body, above the diaphragm. Venous return from the lower half, below the diaphragm, flows through the inferior vena cava. The SVC is located in the anterior right superior mediastinum. It is the typical site of central venous access via a central venous catheter or a peripherally inserted central catheter. Mentions of "the cava" without further specification usually refer to the SVC.

<span class="mw-page-title-main">Atrioventricular node</span> Part of the electrical conduction system of the heart

The atrioventricular node or AV node electrically connects the heart's atria and ventricles to coordinate beating in the top of the heart; it is part of the electrical conduction system of the heart. The AV node lies at the lower back section of the interatrial septum near the opening of the coronary sinus, and conducts the normal electrical impulse from the atria to the ventricles. The AV node is quite compact.

<span class="mw-page-title-main">Pulmonary vein</span> Veins that transfer oxygenated blood from the lungs to the heart

The pulmonary veins are the veins that transfer oxygenated blood from the lungs to the heart. The largest pulmonary veins are the four main pulmonary veins, two from each lung that drain into the left atrium of the heart. The pulmonary veins are part of the pulmonary circulation.

<span class="mw-page-title-main">Jugular vein</span> Veins that bring deoxygenated blood from the head back to the heart

The jugular veins are veins that take deoxygenated blood from the head back to the heart via the superior vena cava. The internal jugular vein descends next to the internal carotid artery and continues posteriorly to the sternocleidomastoid muscle.

<span class="mw-page-title-main">Atrium (heart)</span> Part of the human heart

The atrium is one of the two upper chambers in the heart that receives blood from the circulatory system. The blood in the atria is pumped into the heart ventricles through the atrioventricular mitral and tricuspid heart valves.

<span class="mw-page-title-main">Transposition of the great vessels</span> Group of congenital heart defects

Transposition of the great vessels (TGV) is a group of congenital heart defects involving an abnormal spatial arrangement of any of the great vessels: superior and/or inferior venae cavae, pulmonary artery, pulmonary veins, and aorta. Congenital heart diseases involving only the primary arteries belong to a sub-group called transposition of the great arteries (TGA), which is considered the most common congenital heart lesion that presents in neonates.

<span class="mw-page-title-main">Pulmonary atresia</span> Medical condition

Pulmonary atresia is a congenital malformation of the pulmonary valve in which the valve orifice fails to develop. The valve is completely closed thereby obstructing the outflow of blood from the heart to the lungs. The pulmonary valve is located on the right side of the heart between the right ventricle and pulmonary artery. In a normal functioning heart, the opening to the pulmonary valve has three flaps that open and close.

<span class="mw-page-title-main">Coronary sinus</span> Set of veins which drain blood from the myocardium (heart muscle)

The coronary sinus is the largest vein of the heart. It drains over half of the deoxygenated blood from the heart muscle into the right atrium. It begins on the backside of the heart, in between the left atrium, and left ventricle; it begins at the junction of the great cardiac vein, and oblique vein of the left atrium. It receives multiple tributaries. It passes across the backside of the heart along a groove between left atrium and left ventricle, then drains into the right atrium at the orifice of the coronary sinus.

Cor triatriatum is a congenital heart defect where the left atrium or right atrium is subdivided by a thin membrane, resulting in three atrial chambers.

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">Persistent left superior vena cava</span> Medical condition

In anatomy, a persistent left superior vena cava is the most common variation of the thoracic venous system. It is present in between 0.3% and 0.5% of the population, and is an embryologic remnant that results from a failure to involute.

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

The valve of the inferior vena cava is a venous valve that lies at the junction of the inferior vena cava and right atrium.

<span class="mw-page-title-main">Smallest cardiac veins</span> Small veins in the walls of all four heart chambers

The smallest cardiac veins are small, valveless veins in the walls of all four heart chambers that drain venous blood from the myocardium directly into any of the heart chambers.

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.