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European Journal of Echocardiography 2004 5(1):93-96; doi:10.1016/S1525-2167(03)00049-0
© 2004 by European Society of Cardiology
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Copyright © 2003, The European Society of Cardiology

Visualization of a coronary sinus valve using intracardiac echocardiography

M.F. Scholten*, T. Szili-Torok, A.S. Thornton, J.R.T.C. Roelandt and L.J. Jordaens

Department of Cardiology, Thoraxcentre, Erasmus MC, Rotterdam, The Netherlands

Received 18 March 2003; received in revised form 9 May 2003; accepted after revision 28 May 2003.

* Corresponding author. Department of Clinical Electrophysiology, Thoraxcentre, Erasmus MC, Dr Molewaterplein 40, 3015 GD Rotterdam, The Netherlands. Tel.: +31-10-4633991; fax: +31-10-4634420. m.f.scholten{at}erasmusmc.nl


  Abstract

Cannulation of the coronary sinus (CS) is sometimes difficult due to the presence of anatomical anomalies. Fluoroscopy is of limited value in visualizing these variations. This case is the first to demonstrate how intracardiac echocardiography (ICE) allows visualization of a valve, which is one of the causes of problematic cannulation of the CS. Based on information obtained by ICE an appropriate catheter could be selected.


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