Werner Mohl's Coronary sinus interventions in cardiac surgery PDF
By Werner Mohl
In the first portion of this booklet the micro-anatomy of the coronary sinus is defined with its direction and form, size and width, myocardial disguise and preliminary and terminal valves. The quantity, diameter and mode of openings of the most important cardiac veins are decided and documented. an outline and interpretation of the draining platforms of the human center with reference to the coronary sinus intervention equipment is mentioned within the moment half.
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Extra info for Coronary sinus interventions in cardiac surgery
3 PICSO follows a different concept of using venous blood to maintain cell viability during ischemic syndromes. The rationale of PICSO holds that the beneficial effects are mainly due to forced redistribution of venous blood flow into the coronary beds. , thombolysis in myocardial infarct. 15 These authors showed a relationship between cell integrity, viability, functional recovery, and catabolic accumulation during ischemia and reperfusion. Since numerous experimental studies showed that PICSO reduces infarct size, this method should be primarily used during myocardial infarction and unstable angina pectoris and to avoid reperfusion injury (cf.
12. , Valve of Vieussens. 28 Coronary Sinus Interventions in Cardiac Surgery Fig. 13. Cribrate valve at the atrial ostium of the of the coronary sinus, valve of Thebesius. Fig. 14. Incomplete semilunar valve at the atrial ostium of the coronary sinus, valve of Thebesius. The Venous Drainage of the Myocardium in the Human Heart 29 Perfused vessel Reperfused myocardium V. interventricularis anterior and V. coronaria sinistra = V. cardiaca magna (great cardiac vein) Anterior half of the inter-anterior and V.
Fig. 8. In the middle of the posterior coronary sulcus the myocardial covering of the cs continues into the posterior interventricular sulcus. Therefore a sleeve of atrial muscle extends from the left atrial wall to the oblique terminal part of the middle cardiac vein. Consequently this vein is fixed by myocardial cords at the posterior wall of the right atrium (arrows). The right coronary artery has a pale surface. (2) coronary sinus; (6) middle cardiac vein (V. interventricularis posterior); (10) right atrium.
Coronary sinus interventions in cardiac surgery by Werner Mohl