Document Detail

Right posterior sinoatrial node artery showing a pericaval course: a previously undescribed mode of termination.
MedLine Citation:
PMID:  19915789     Owner:  NLM     Status:  MEDLINE    
The left posterior sinus node artery (PSNA) originates from the posterolateral left circumflex artery, is quite common and shows more frequently a retrocaval mode of termination. In contrast, the right PSNA that arises from the terminal right coronary artery has been rarely described while information on its mode of termination is generally lacking. The PSNA courses close to the ostia of the superior pulmonary veins; hence, it may get injured during surgical or catheter ablation procedures performed for the treatment of atrial fibrillation. The left PSNA terminates retrocavally more frequently than the usual SNAs; hence, it may be at a greater risk of transection during the popular superior septal approach to the mitral valve. We present a case of right PSNA which terminated in a previously unreported course, i.e., the pericaval. Discussion pertains to the anatomic features of the PSNA that render it susceptible to the aforementioned complications.
Andreas Yiangou Andreou; George M Georgiou; Panayiotis C Avraamides
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-11-14
Journal Detail:
Title:  Surgical and radiologic anatomy : SRA     Volume:  32     ISSN:  1279-8517     ISO Abbreviation:  Surg Radiol Anat     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-05     Completed Date:  2010-10-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608029     Medline TA:  Surg Radiol Anat     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  609-12     Citation Subset:  IM    
Cardiology Department, Nicosia General Hospital, Old Road Nicosia-Limassol 213, Strovolos, P.O. Box 2029, Nicosia, Cyprus.
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MeSH Terms
Coronary Angiography / methods*
Coronary Artery Bypass / methods
Coronary Vessel Anomalies / radiography*,  surgery
Coronary Vessels / surgery
Emergency Treatment
Follow-Up Studies
Middle Aged
Myocardial Infarction / diagnosis,  radiography*,  surgery
Risk Assessment
Treatment Outcome

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