Bachmann's Bundle and Coronary Sinus Ostial Pacing Accentuate Left Atrial Electrical Dyssynchrony in an Acute Canine Model

2014 ◽  
Vol 25 (12) ◽  
pp. 1400-1406
Author(s):  
INDRAJIT CHOUDHURI ◽  
DAVID KRUM ◽  
ANUJ AGARWAL ◽  
JOHN HARE ◽  
MAREK BELOHLAVEK ◽  
...  
2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Weiting Huang ◽  
Khaled Mohamed Emadeldin Moheb Hammad ◽  
Victor Tar Toong Chao ◽  
Khung Keong Yeo

The growth in percutaneous transluminal devices has enabled operators to tackle more complex, native, and post-bypass surgery anatomy. However, complications such as coronary artery dissection, coronary perforation, retrograde aortic dissection, arrhythmias, and acute coronary syndrome still occur with resulting mortality rates of up to 4.2% in complex interventions. Perforation of the circumflex artery is of particular interest in view of its position and relation to the surrounding cardiac structures. This is a site of potential fluid collection, and as the left atrium is fixed to the parietal pericardium at the entry of the pulmonary veins, fluid in the oblique sinus can accumulate enough pressure to compress the left atrium and the coronary sinus. We present a case of left circumflex artery perforation which demonstrates the physiologic complications of coronary sinus and left atrial compression and the resultant functional mitral stenosis.


1970 ◽  
Vol 79 (2) ◽  
pp. 201-214 ◽  
Author(s):  
Sun Hing Lau ◽  
Stafford I. Cohen ◽  
Emanuel Stein ◽  
Jacob I. Haft ◽  
Kenneth M. Rosen ◽  
...  
Keyword(s):  

1995 ◽  
Vol 268 (2) ◽  
pp. H781-H787 ◽  
Author(s):  
N. Hasebe ◽  
L. Hittinger ◽  
S. Kohin ◽  
Y. T. Shen ◽  
R. M. Graham ◽  
...  

Alterations in left atrial (LA) and left ventricular (LV) compliance and arterial and coronary sinus atrial natriuretic factor (ANF) concentrations at baseline and in response to both volume depletion and expansion were investigated in 15 conscious dogs with aortic banding-induced LV hypertrophy (LVH) (LV/body wt increased by 64%), which also induced LAH (LA/body wt increased by 61%). With volume expansion coronary sinus ANF increased more (P < 0.05) in dogs with LVH (+427 +/- 88 pg/ml) compared with control dogs (+146 +/- 45 pg/ml). Arterial ANF levels also rose more with volume expansion in LVH. In dogs with LVH, the LV end-diastolic pressure-diameter relationship was shifted to the left with a steeper slope with volume expansion, such that at any given diastolic dimension, diastolic pressure was higher. In contrast, the pressure-dimension relationship for the LA appendage was shifted in the opposite direction during both atrial systolic and diastolic phases, with a more shallow slope in hypertrophy compared with control dogs, resulting in an augmented pressure-dimension product during volume loading in LAH. In conclusion, in dogs with LVH and LAH, enhanced ANF was revealed in the coronary sinus and systemic circulation during volume expansion, which could be due, in part, to a more compliant, but hypertrophied, LA, which responded to equivalent volume loading with an augmented pressure-dimension product.


2001 ◽  
Vol 442 (7) ◽  
pp. r195-r197 ◽  
Author(s):  
Igor Zupan ◽  
Mirta Koželj ◽  
Aleš Brecelj ◽  
Peter Rakovec ◽  
Irena Preložnik Zupan

2014 ◽  
Vol 63 (12) ◽  
pp. A1677 ◽  
Author(s):  
Yanping Cheng ◽  
Jennifer McGregor ◽  
Daryl Edmiston ◽  
Robert Sommer ◽  
William Gray ◽  
...  

2015 ◽  
Vol 86 (1) ◽  
pp. 173-181 ◽  
Author(s):  
Yanping Cheng ◽  
Gerard Conditt ◽  
Genghua Yi ◽  
Armando Tellez ◽  
Michael Corcoran ◽  
...  

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