Where does the coronary sinus open into?

The coronary sinus empties directly into the right atrium near the conjunction of the posterior interventricular sulcus and the coronary sulcus (crux cordis area), located between the inferior vena cava and tricuspid valve; this atrial ostium can be partially covered by a Thebesian valve, although the anatomy of this …

Which chamber has the opening for coronary sinus?

right atrium
The coronary sinus drains into the right atrium, at the coronary sinus orifice, an opening between the inferior vena cava and the right atrioventricular orifice or tricuspid valve.

How do you get the parasternal long axis view?

The parasternal long axis (PLAX) view is obtained with the transducer in the parasternal window with the transducer index mark pointed toward the patient’s right shoulder (10 o’clock) in the third or fourth intercostal space.

What do we see in parasternal long axis view?

For the parasternal long-axis view, the marker of the transducer points somewhat towards the right shoulder. The exact orientation depends on the axis of the patient’s heart. To inspect the more cranial portions of the aorta, you will have to move the transducer up one intercostal space.

How does the coronary sinus work?

The coronary sinus collects the majority of the cardiac venous blood. It receives the blood from the myocardium, a thick layer of muscle within the heart, and facilitates the movement of the blood into the right atrium. The coronary sinus often serves as a landmark for surgeons who are performing cardiac surgery.

What is short axis view?

English Spanish. The short axis of the heart is the plane perpendicular to the long axis of the heart, considered to be the axis that aligns the base of the heart and the apex. This view gives an excellent cross sectional view of the left and right ventricles and often displays the cardiac skeleton and valve annuli.

What is not seen in Plax long axis?

Since only a small portion of the right ventricle can be seen, PLAX is not an ideal view to interpret RV function. Additional structures that can be seen in the PLAX view are the coronary sinus (at the junction between the left atrium and the left ventricle) and the descending aorta (behind the left atrium).

How is Epss calculated?

EPSS can be measured by direct ultrasound visualization of the heart in parasternal long axis (PLAX). Using M-mode, the marker is placed over the most distal tip of the anterior mitral leaflet. The M-mode image created using this point over time can be visualized as a cloudy sky over two hills (see Figure 1).

What causes dilated coronary sinus?

A dilated CS can result from increased blood flow due to abnormal venous drainage in the left superior vena cava, total anomalous intra-cardiac pulmonary venous drainage, severe tricuspid regurgitation, CS diverticulum, or a coronary artery to CS fistula.

Why is the coronary sinus important?

The coronary sinus is the major venous tributary of the greater cardiac venous system; it is responsible for draining most of the deoxygenated blood leaving the myocardium.

What is the coronary sinus for?

https://www.youtube.com/watch?v=uciGL4TaoaA