Presentation is loading. Please wait.

Presentation is loading. Please wait.

Spontaneous rupture of the dissected coronary sinus mimicking acute coronary syndrome  Thomas Bartel, MD, Alfred Kocher, MD, Gudrun Feuchtner, MD, Silvana.

Published byTobias Schulz Modified over 6 years ago

Similar presentations

Presentation on theme: "Spontaneous rupture of the dissected coronary sinus mimicking acute coronary syndrome  Thomas Bartel, MD, Alfred Kocher, MD, Gudrun Feuchtner, MD, Silvana."— Presentation transcript:

1 Spontaneous rupture of the dissected coronary sinus mimicking acute coronary syndrome 
Thomas Bartel, MD, Alfred Kocher, MD, Gudrun Feuchtner, MD, Silvana Müller, MD, Johannes O. Bonatti, MD, Bernhard Metzler, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 137, Issue 1, Pages e1-e3 (January 2009) DOI: /j.jtcvs Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 A and B, Enlarged and dissected coronary sinus (A) with turbulent fistular flow (B). 1, Turbulent entrance flow from the coronary sinus into the right atrium; CS, coronary sinus; IVC, inferior vena cava; PE, pericardial effusion; RA, right atrium. C and D, Computed tomographic 3-dimensional view of the heart by using a volume-rendering technique: giant left main coronary aneurysm (anterior view of the heart; C) from which an enlarged, heavily calcified circumflex artery originates, which drains distally into the dilated, septated coronary sinus (posterior view of the heart; D). A, Aneurysm; CS, coronary sinus; CX, circumflex coronary artery; LV, left ventricle; V, dilated posterolateral cardiac vein; 1, the fistula between circumflex coronary artery and coronary sinus. E and F, Computed tomographic axial oblique (E) and coronal oblique (F) planes of the heart. The circumflex artery drains into the dissected coronary sinus (E). The distal posterolateral vein is enlarged and shows thrombus formation and surrounding hemorrhage indicative of a concealed perforation (F). LV, left ventricle; CS, coronary sinus; CX, circumflex coronary artery; V, distal posterolateral vein; P, pericardium; X, hemorrhage; LA, left atrium; RV, right ventricle; 1, the circumflex artery drains into the dissected coronary sinus; 2, thrombus formation in the posterolateral vein. The Journal of Thoracic and Cardiovascular Surgery  , e1-e3DOI: ( /j.jtcvs ) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Intraoperative view of the junction between the left main coronary aneurysm and the ectatic circumflex artery (A) and the circumflex artery to the coronary sinus fistula (B). A, Left main aneurysm; CS, coronary sinus; CX, circumflex artery; DX, first diagonal coronary artery; PDA, posterior descending coronary artery. The Journal of Thoracic and Cardiovascular Surgery  , e1-e3DOI: ( /j.jtcvs ) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Download ppt "Spontaneous rupture of the dissected coronary sinus mimicking acute coronary syndrome  Thomas Bartel, MD, Alfred Kocher, MD, Gudrun Feuchtner, MD, Silvana."

Similar presentations

Normal anatomy at cardiac CT angiography

Normal anatomy at cardiac CT angiography
Normal anatomy at cardiac CT angiography

Normal anatomy at cardiac CT angiography
Uterine leiomyoma extension into right atrium: A case report

Uterine leiomyoma extension into right atrium: A case report
Autotransplantation for Threatened Cardiac Rupture After Left Ventricular Repair  Hiroaki Hata, MD, PhD, Motomi Shiono, MD, PhD, Mitsuru Iida, MD, PhD,

Autotransplantation for Threatened Cardiac Rupture After Left Ventricular Repair  Hiroaki Hata, MD, PhD, Motomi Shiono, MD, PhD, Mitsuru Iida, MD, PhD,
First successful transapical aortic valve implantation after aortic allograft replacement  Michael Schmoeckel, MD, Peter Boekstegers, MD, Konstantin Nikolaou,

First successful transapical aortic valve implantation after aortic allograft replacement  Michael Schmoeckel, MD, Peter Boekstegers, MD, Konstantin Nikolaou,
Acute aortic dissection with coronary ostium involvement and aortic valve regurgitation: Three-dimensional visualization with multislice computed tomography 

Acute aortic dissection with coronary ostium involvement and aortic valve regurgitation: Three-dimensional visualization with multislice computed tomography 
Modified perfusion technique for patients with renal cell carcinoma infiltrating the inferior vena cava  Gianluigi Bisleri, MD, Paolo Piccoli, MD, Sergio.

Modified perfusion technique for patients with renal cell carcinoma infiltrating the inferior vena cava  Gianluigi Bisleri, MD, Paolo Piccoli, MD, Sergio.
Neoaortic root dilatation with saccular aneurysm formation after the arterial switch operation for Taussig–Bing anomaly  Yoshitaka Hayashi, MD, PhD, Andrew.

Neoaortic root dilatation with saccular aneurysm formation after the arterial switch operation for Taussig–Bing anomaly  Yoshitaka Hayashi, MD, PhD, Andrew.
Christopher W. Baird, MD, Joseph M. Forbess, MD 

Christopher W. Baird, MD, Joseph M. Forbess, MD 
Arterial switch operation for transposition of the great arteries with anomalies of cardiac situs and aortic position  Sachin Talwar, MCh, Aandrei Jivendra.

Arterial switch operation for transposition of the great arteries with anomalies of cardiac situs and aortic position  Sachin Talwar, MCh, Aandrei Jivendra.
Working heart model of heterotopic heart-lung transplantation in rats

Working heart model of heterotopic heart-lung transplantation in rats
Alan P. Kypson, MD, David W. Frazier, MD, Jon F. Moran, MD 

Alan P. Kypson, MD, David W. Frazier, MD, Jon F. Moran, MD 
Valve-sparing aortic root replacement in a patient with a rare connective tissue disorder: Arterial tortuosity syndrome  Tomaso Bottio, MD, PhD, Gianluigi.

Valve-sparing aortic root replacement in a patient with a rare connective tissue disorder: Arterial tortuosity syndrome  Tomaso Bottio, MD, PhD, Gianluigi.
Cardiac pheochromocytoma

Cardiac pheochromocytoma
Spiral ventricular septation

Spiral ventricular septation
Spontaneous giant right coronary artery pseudoaneurysm

Spontaneous giant right coronary artery pseudoaneurysm
Giant Calcified Pseudoaneurysm of Right Coronary Artery Presenting as a Right Intra- Atrial Mass  Krishna Bhagwat, MCh CTS, Rajesh Jaria, MD, Vijay Shetty,

Giant Calcified Pseudoaneurysm of Right Coronary Artery Presenting as a Right Intra- Atrial Mass  Krishna Bhagwat, MCh CTS, Rajesh Jaria, MD, Vijay Shetty,
Acute inferior wall myocardial infarction secondary to ruptured sinus of Valsalva aneurysm in a 22-year-old man  Hui-Ping Sun, MD, Xiang Ma, PhD, Xue.

Acute inferior wall myocardial infarction secondary to ruptured sinus of Valsalva aneurysm in a 22-year-old man  Hui-Ping Sun, MD, Xiang Ma, PhD, Xue.
Aneurysmal circumflex coronary artery with fistulous connection to the coronary sinus  Afksendiyos Kalangos, MD, PhD, DSc(Hon), Saziye Karaca, MD, Mustafa.

Aneurysmal circumflex coronary artery with fistulous connection to the coronary sinus  Afksendiyos Kalangos, MD, PhD, DSc(Hon), Saziye Karaca, MD, Mustafa.
Circular shunt in bidirectional cavopulmonary anastomosis

Circular shunt in bidirectional cavopulmonary anastomosis

Similar presentations

Ads by Google