Study on topographic relations of coronary ostia with sinotubular junction, commissure of aortic leaflets and aortic sinuses in human cadavers
Journal Title: Indian Journal of Clinical Anatomy and Physiology - Year 2017, Vol 4, Issue 4
Abstract
Objectives: The coronary angiography can be performed successfully by having knowledge on the location and level of coronary ostia. The morbidity and mortality of invasive procedures may be reduced by studying the topographical relations of coronary orifices. The present study is undertaken 1. To observe the relations of coronary ostia to Sinotubular junction. 2. To measure the distance of coronary ostia from commissures of aortic leaflets. 3. To measure the distance between coronary ostia and bottom of corresponding aortic sinus. Materials and Method: The present study was done on 49 formalin fixed human cadaveric hearts and the position of coronary ostia with respect to sinotubular junction and commissure was noted. The distance between coronary ostia and the bottom of the aortic sinus was measured. Results: It was observed that the incidence of various locations of coronary ostia in relation to STJ was in 44 (89.8%) specimens right coronary ostium was below STJ and in 26 (53.1%) specimens left coronary ostium was at STJ which was statistically significant (p-value<0.0001). The distance of right coronary ostia from its right and left commissures was 9.73mm and 14.55 mm respectively. The distance of left coronary ostia from its right and left commissures was 11.74mm and 11.27 mm respectively. The right coronary ostium was deviated to right commissure which is towards right posterior aortic sinus and the left coronary ostium was almost near the centre of aortic sinus which was statistically significant (p-value<0.001). The mean distance of right coronary ostium from the bottom of aortic sinus was (14.1mm) greater than left coronary ostium (12.7mm) which was statistically significant (p-value=0.001). Conclusion: One of the difficult challenges to cardiac surgeons is selective insertion of catheter tips which requires awareness on anomalous coronary ostia.
Authors and Affiliations
Jyothi SR, Dakshayani KR
Keywords
Related Articles
- EP ID EP294860
- DOI 10.18231/2394-2126.2017.0110
- Views 68
- Downloads 0
Short term effect of integrated Yoga on anxiety, stress and heart rate variability in first year medical student
Introduction Medical students are exposed to various stresses which is known to affect cardiovascular system which can be assessed by noting the heart rate variability HRVAims To assess the anxiety stress and HRV in firs...
Effect of duration and type of tobacco consumed on the Nasal Mucociliary Clearance of adult male smokers – a cross sectional study
Introduction: Nasal Muco Ciliary (NMC), one of the important protective mechanisms of respiratory tract is affected due to workplace and environmental exposure to dust, thereby exacerbating respiratory diseases. Prolonge...
Beneficial effects of Raga therapy in the management of stress among children with type D personality
Introduction Om chanting and Ragas for stress alleviation Different Ragas are likewise observed to be exceptionally compelling in overseeing or curing illnesses In such conduct a blend of particular notes or Ragas is bei...
Prevalence of anencephaly associated anomalies
Introduction Defective closure of rostral pore of neural tube leads to anencephaly Folic acid deficiency is most common cause anencephaly In most of the cases of Anencephaly is associated with other systemic anomaliesObj...
Morphological and morphometric study of insular cortex in human cadaveric brains
Introduction and Aim The insular cortex is hidden 5th lobe of brain with variable gross anatomical patterns Insula is situated in operculoinsular compartment of sylvian cisternMaterials and Methods 58 human formalin fixe...