Angiographic Analysis of the Anatomic Relation of Coronary Arteries to Mitral and Tricuspid Annulus and Implications for Radiofrequency Ablation Can.

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Angiographic Analysis of the Anatomic Relation of Coronary Arteries to Mitral and Tricuspid Annulus and Implications for Radiofrequency Ablation Can Hasdemir, MD, Oguz Yavuzgil, MD, Serdar Payzin, MD, Mehmet Aydin, MD, Cem Ulucan, MD, Meral Kayikcioglu, MD, Levent H. Can, MD, Cuneyt Turkoglu, MD, Hakan Kultursay, MD American Journal of Cardiology Volume 100, Issue 4, Pages 666-671 (August 2007) DOI: 10.1016/j.amjcard.2007.03.082 Copyright © 2007 Elsevier Inc. Terms and Conditions

Figure 1 Selective coronary angiography of the right CA (RCA) in LAO and RAO projections. (A,B) The distal tip of the mapping catheter is in close proximity to the distal RCA (vessel diameter 2.1 mm) during diastole in LAO and RAO projections, respectively. (C,D) The distal tip of the mapping catheter moves away from the distal RCA during systole in LAO (distance 0.7 mm) and RAO (distance 2.1 mm) projections, respectively. American Journal of Cardiology 2007 100, 666-671DOI: (10.1016/j.amjcard.2007.03.082) Copyright © 2007 Elsevier Inc. Terms and Conditions

Figure 2 Selective coronary angiography of the right CA (RCA) in LAO and RAO projections. (A) Distal tip of the mapping catheter is in close proximity to the posterolateral branch (vessel diameter 1.6 mm) of the RCA during diastole in LAO projection. (B) Distal tip of the mapping catheter is compressing the posterolateral branch of the RCA (arrow) during diastole in RAO projection. (C,D) The distal tip of the mapping catheter moves away from the posterolateral branch of the RCA during systole in LAO (distance 1.1 mm) and RAO (distance 1.1 mm) projections, respectively. CS = coronary sinus. American Journal of Cardiology 2007 100, 666-671DOI: (10.1016/j.amjcard.2007.03.082) Copyright © 2007 Elsevier Inc. Terms and Conditions

Figure 3 Selective coronary angiography of the right CA (RCA) in LAO projections. (A) The arrow shows an inverted U–shaped posterolateral branch of the RCA. (B) The arrow shows a broad-based posterolateral branch of the RCA. American Journal of Cardiology 2007 100, 666-671DOI: (10.1016/j.amjcard.2007.03.082) Copyright © 2007 Elsevier Inc. Terms and Conditions

Figure 4 Selective coronary angiography of the left circumflex() and left anterior descending CA in LAO and RAO projections. (A) Coronary angiography shows a dominant left circumflex CA located along the ceiling of the CS. (B,C) The distal tip of the mapping catheter is in close proximity to the left circumflex CA (arrows) in shallow LAO and standard RAO projections, respectively. (D) The arrow shows the indentation of the left circumflex CA (vessel diameter 2.5 mm) created by the compression of the distal tip of the mapping catheter. American Journal of Cardiology 2007 100, 666-671DOI: (10.1016/j.amjcard.2007.03.082) Copyright © 2007 Elsevier Inc. Terms and Conditions

Figure 5 Coronary angiography of the left circumflex(LCx)and left anterior descending CA in LAO and RAO projections. (A,B) Coronary angiography shows the dominant left circumflex LCx CA located along the floor of the CS in LAO and RAO projections, respectively. (C,D) Coronary angiography shows the dominant left circumflex CA located along the ceiling of the CS in the LAO and RAO projections, respectively. American Journal of Cardiology 2007 100, 666-671DOI: (10.1016/j.amjcard.2007.03.082) Copyright © 2007 Elsevier Inc. Terms and Conditions