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Coronary sinus diverticulum

MedGen UID:
488997
•Concept ID:
C3163894
•
Congenital Abnormality
Synonyms: Diverticulum of coronary sinus; Diverticulum of the coronary sinus
SNOMED CT: Diverticulum of coronary sinus (447661004)
 
HPO: HP:0011644

Definition

A venous pouch within the left ventricular wall, with a neck opening into the coronary sinus. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVCoronary sinus diverticulum

Professional guidelines

PubMed

Coronary sinus diverticulum: Importance, function, and treatment.
Razeghian-Jahromi I, Natale A, Nikoo MH
Pacing Clin Electrophysiol 2020 Dec;43(12):1582-1587. Epub 2020 Sep 4 doi: 10.1111/pace.14026. PMID: 32815147

Recent clinical studies

Etiology

Comparison between conventional approach and three-dimensional mapping system in the catheter ablation of accessory pathway associated with coronary sinus diverticulum: A single-center experience.
Zhang S, Wu Z, Chen M, Li X, Liu Q, Zhou S
Ann Noninvasive Electrocardiol 2024 Jan;29(1):e13100. Epub 2023 Dec 20 doi: 10.1111/anec.13100. PMID: 38115789Free PMC Article
Coronary sinus ablations in pediatric patients with supraventricular arrhythmias.
Kamali H, Kafali HC, Caran B, Sulu A, Ergul Y
J Interv Card Electrophysiol 2023 Dec;66(9):2153-2164. Epub 2023 Oct 21 doi: 10.1007/s10840-023-01675-w. PMID: 37864653
Remaining challenges in catheter ablation of accessory pathways: rare entity of coronary sinus diverticulum-associated pathways.
Leitz P, Wasmer K, Köbe J, Dechering DG, Frommeyer G, Güner F, Ellermann C, Reinke F, Eckardt L
Clin Res Cardiol 2019 Apr;108(4):388-394. Epub 2018 Sep 4 doi: 10.1007/s00392-018-1367-3. PMID: 30182165
High risk accessory pathway ablation inside a large coronary sinus diverticulum in a patient with coexistent drug-induced type 1 Brugada ECG pattern.
Zucchelli G, Bongiorni MG, Coluccia G, Di Cori A
J Cardiovasc Electrophysiol 2014 Jan;25(1):101-2. Epub 2013 Sep 9 doi: 10.1111/jce.12239. PMID: 24015930
Diagnosis of coronary sinus diverticulum in Wolff-Parkinson-White syndrome using coronary angiography.
Stamato N, Goodwin M, Foy B
Pacing Clin Electrophysiol 1989 Oct;12(10):1589-91. doi: 10.1111/j.1540-8159.1989.tb01835.x. PMID: 2477812

Diagnosis

Coronary sinus ablations in pediatric patients with supraventricular arrhythmias.
Kamali H, Kafali HC, Caran B, Sulu A, Ergul Y
J Interv Card Electrophysiol 2023 Dec;66(9):2153-2164. Epub 2023 Oct 21 doi: 10.1007/s10840-023-01675-w. PMID: 37864653
Coronary sinus diverticulum: Importance, function, and treatment.
Razeghian-Jahromi I, Natale A, Nikoo MH
Pacing Clin Electrophysiol 2020 Dec;43(12):1582-1587. Epub 2020 Sep 4 doi: 10.1111/pace.14026. PMID: 32815147
Remaining challenges in catheter ablation of accessory pathways: rare entity of coronary sinus diverticulum-associated pathways.
Leitz P, Wasmer K, Köbe J, Dechering DG, Frommeyer G, Güner F, Ellermann C, Reinke F, Eckardt L
Clin Res Cardiol 2019 Apr;108(4):388-394. Epub 2018 Sep 4 doi: 10.1007/s00392-018-1367-3. PMID: 30182165
Posteroseptal accessory pathway in association with coronary sinus diverticulum: electrocardiographic description and result of catheter ablation.
Payami B, Shafiee A, Shahrzad M, Kazemisaeed A, Davoodi G, Yaminisharif A
J Interv Card Electrophysiol 2013 Oct;38(1):43-9. Epub 2013 Feb 8 doi: 10.1007/s10840-012-9775-1. PMID: 23392955
Diagnosis of coronary sinus diverticulum in Wolff-Parkinson-White syndrome using coronary angiography.
Stamato N, Goodwin M, Foy B
Pacing Clin Electrophysiol 1989 Oct;12(10):1589-91. doi: 10.1111/j.1540-8159.1989.tb01835.x. PMID: 2477812

Therapy

Remaining challenges in catheter ablation of accessory pathways: rare entity of coronary sinus diverticulum-associated pathways.
Leitz P, Wasmer K, Köbe J, Dechering DG, Frommeyer G, Güner F, Ellermann C, Reinke F, Eckardt L
Clin Res Cardiol 2019 Apr;108(4):388-394. Epub 2018 Sep 4 doi: 10.1007/s00392-018-1367-3. PMID: 30182165
Accessory atrioventricular pathways refractory to catheter ablation: role of percutaneous epicardial approach.
Scanavacca MI, Sternick EB, Pisani C, Lara S, Hardy C, d'Ávila A, Correa FS, Darrieux F, Hachul D, Marcial MB, Sosa EA
Circ Arrhythm Electrophysiol 2015 Feb;8(1):128-36. Epub 2014 Dec 19 doi: 10.1161/CIRCEP.114.002373. PMID: 25527824
High risk accessory pathway ablation inside a large coronary sinus diverticulum in a patient with coexistent drug-induced type 1 Brugada ECG pattern.
Zucchelli G, Bongiorni MG, Coluccia G, Di Cori A
J Cardiovasc Electrophysiol 2014 Jan;25(1):101-2. Epub 2013 Sep 9 doi: 10.1111/jce.12239. PMID: 24015930
Posteroseptal accessory pathway in association with coronary sinus diverticulum: electrocardiographic description and result of catheter ablation.
Payami B, Shafiee A, Shahrzad M, Kazemisaeed A, Davoodi G, Yaminisharif A
J Interv Card Electrophysiol 2013 Oct;38(1):43-9. Epub 2013 Feb 8 doi: 10.1007/s10840-012-9775-1. PMID: 23392955
Radiofrequency catheter ablation of septal accessory pathways.
Pfeiffer D, Tebbenjohanns J, Schumacher B, Omran H, Fehske W, Lüderitz B
J Interv Cardiol 1995 Feb;8(1):69-76. doi: 10.1111/j.1540-8183.1995.tb00516.x. PMID: 10155218

Prognosis

Precordial reverse pattern break: A predictor of posteroseptal accessory pathways ablatable from the proximal coronary sinus.
Bera D, Mukherjee SS, Narasimhan C, Lokhandwala YY, Halder A, Reddy P, Majumder S, Sikdar S
Heart Rhythm 2022 Aug;19(8):1386-1388. Epub 2022 Mar 31 doi: 10.1016/j.hrthm.2022.03.1229. PMID: 35367660
Remaining challenges in catheter ablation of accessory pathways: rare entity of coronary sinus diverticulum-associated pathways.
Leitz P, Wasmer K, Köbe J, Dechering DG, Frommeyer G, Güner F, Ellermann C, Reinke F, Eckardt L
Clin Res Cardiol 2019 Apr;108(4):388-394. Epub 2018 Sep 4 doi: 10.1007/s00392-018-1367-3. PMID: 30182165
Accessory atrioventricular pathways refractory to catheter ablation: role of percutaneous epicardial approach.
Scanavacca MI, Sternick EB, Pisani C, Lara S, Hardy C, d'Ávila A, Correa FS, Darrieux F, Hachul D, Marcial MB, Sosa EA
Circ Arrhythm Electrophysiol 2015 Feb;8(1):128-36. Epub 2014 Dec 19 doi: 10.1161/CIRCEP.114.002373. PMID: 25527824
Posteroseptal accessory pathway in association with coronary sinus diverticulum: electrocardiographic description and result of catheter ablation.
Payami B, Shafiee A, Shahrzad M, Kazemisaeed A, Davoodi G, Yaminisharif A
J Interv Card Electrophysiol 2013 Oct;38(1):43-9. Epub 2013 Feb 8 doi: 10.1007/s10840-012-9775-1. PMID: 23392955
Radiofrequency catheter ablation of septal accessory pathways.
Pfeiffer D, Tebbenjohanns J, Schumacher B, Omran H, Fehske W, Lüderitz B
J Interv Cardiol 1995 Feb;8(1):69-76. doi: 10.1111/j.1540-8183.1995.tb00516.x. PMID: 10155218

Clinical prediction guides

Coronary sinus ablations in pediatric patients with supraventricular arrhythmias.
Kamali H, Kafali HC, Caran B, Sulu A, Ergul Y
J Interv Card Electrophysiol 2023 Dec;66(9):2153-2164. Epub 2023 Oct 21 doi: 10.1007/s10840-023-01675-w. PMID: 37864653
Precordial reverse pattern break: A predictor of posteroseptal accessory pathways ablatable from the proximal coronary sinus.
Bera D, Mukherjee SS, Narasimhan C, Lokhandwala YY, Halder A, Reddy P, Majumder S, Sikdar S
Heart Rhythm 2022 Aug;19(8):1386-1388. Epub 2022 Mar 31 doi: 10.1016/j.hrthm.2022.03.1229. PMID: 35367660
Accessory atrioventricular pathways refractory to catheter ablation: role of percutaneous epicardial approach.
Scanavacca MI, Sternick EB, Pisani C, Lara S, Hardy C, d'Ávila A, Correa FS, Darrieux F, Hachul D, Marcial MB, Sosa EA
Circ Arrhythm Electrophysiol 2015 Feb;8(1):128-36. Epub 2014 Dec 19 doi: 10.1161/CIRCEP.114.002373. PMID: 25527824
Posteroseptal accessory pathway in association with coronary sinus diverticulum: electrocardiographic description and result of catheter ablation.
Payami B, Shafiee A, Shahrzad M, Kazemisaeed A, Davoodi G, Yaminisharif A
J Interv Card Electrophysiol 2013 Oct;38(1):43-9. Epub 2013 Feb 8 doi: 10.1007/s10840-012-9775-1. PMID: 23392955

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