PT - JOURNAL ARTICLE AU - Kizilkan, Nese AU - Davutoglu, Vedat AU - Erbagci, Hulya AU - Karagoz, Alper AU - Akcay, Murat AU - Sari, Ibrahim AU - Ercan, Suleyman AU - Dogan, Adnan TI - Coronary sinus dilatation. A simple additional echocardiographic indicator of severe rheumatic mitral and tricuspid valve disease DP - 2010 Feb 01 TA - Saudi Medical Journal PG - 153--157 VI - 31 IP - 2 4099 - http://smj.org.sa/content/31/2/153.short 4100 - http://smj.org.sa/content/31/2/153.full SO - Saudi Med J2010 Feb 01; 31 AB - OBJECTIVE: To evaluate the usefulness of examining the coronary sinus (CS) anatomic diameter as an additional surrogate marker of severity in chronic rheumatic valve disease (RVD).METHODS: In this cross-sectional observational study, we echocardiographically analyzed 88 patients with RVD, and 104 normal subjects in the Department of Cardiology, Gaziantep University Medical Faculty, Gaziantep, Turkey between February 2007 and April 2007. Echocardiographically all valve regurgitation, stenosis, left ventricular function, left/right atrial volume, and pulmonary artery pressure were obtained. Coronary sinus was assessed as a sonolucency in the posterior atrioventricular groove.RESULTS: Strong positive correlation was present between CS measurements and mitral mean gradient, mitral and tricuspid regurgitation grade, tricuspid stenosis gradient, pulmonary artery systolic pressure, left and right atrial volume, and New York Heart Association class. A statistically negative correlation was present between CS measurements and mitral valve area and ejection fraction. Only the mitral valve area, tricuspid regurgitation grade, and the right atrial volume were predictors of body surface area adjusted mean CS dilatation.CONCLUSION: In this preliminary study, we showed that echocardiographic assessment of dilated CS may provide useful additional information in predicting the severity of mitral/tricuspid RVD. Findings of this study needs to be confirmed in further studies.