Ablacja cieśni trójdzielno-żylnej wśród pacjentów z przetrwałym migotaniem przedsionków jako terapia pomostowa celem utrzymania rytmu zatokowego — badanie pilotażowe

Adamowicz, Jakub; Szponder, Mateusz; Sokołowska, Magdalena; Sławuta, Agnieszka; Gajek, Jacek; Zyśko, Dorota

doi:10.5603/fc.2017.0051

Cited by 1 publication

(2 citation statements)

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“…The region of the TVA is of clinical importance in various surgical procedures, including tricuspid valve surgery, coronary artery bypass grafting, percutaneous coronary interventions, and ablation procedures [ 5 , 6 , 7 , 8 , 9 ]. Its size, shape, and dynamics may change depending on the pathology of the tricuspid valve and the remodeling of the RA and RV [ 6 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the septal part of the TVA is adjacent to Koch’s triangle where the atrioventricular node (AVN) is located [ 1 , 6 , 11 ]. The area adjacent to the TVA and the ostium of the inferior vena cava, the so-called cavotricuspid isthmus, is one of the ablation targets for the treatment of atrial flutter and atrial fibrillation [ 5 , 12 ]. The main structure surrounding the TVA is the right coronary artery (RCA), which vascularizes the RA, the RV, part of the interventricular septum, and, in some cases, part of the left ventricle (LV) [ 1 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

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The Right Coronary Anatomy and Operative Topography of the Tricuspid Valve Annulus

Piotrowski,

Burysz,

Batko

et al. 2024

JCDD

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Background: The region of the tricuspid valve is an important area for various cardiac interventions. In particular, the spatial relationships between the right coronary artery and the annulus of the tricuspid valve should be considered during surgical interventions. The aim of this study was to provide an accurate description of the clinical anatomy and topography of this region. Methods: We analyzed 107 computed tomography scans (44% female, age 62.1 ± 9.4 years) of the tricuspid valve region. The circumference of the free wall of the tricuspid valve annulus was divided into 13 annular points and measurements were taken at each point. The prevalence of danger zones (distance between artery and annulus less than 2 mm) was also investigated. Results: Danger zones were found in 20.56% of the cases studied. The highest prevalence of danger zones and the smallest distances were found at the annular points of the tricuspid valve located at the posterior insertion of the leaflets, without observed sex-specific differences. Conclusion: The highest risk of iatrogenic damage to the right coronary artery is in the posterior part of the tricuspid valve annulus.

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