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.