Pericardial sinus
| Pericardial sinus | |
|---|---|
 Posterior wall of the pericardial sac, showing the lines of reflection of the serous pericardium on the great vessels. (Transverse sinus labeled at center. Oblique sinus not labeled, but visible inferior to transverse sinus between the right and left pulmonary veins) | |
| Identifiers | |
| TA98 | A12.1.07.001 |
| TA2 | 3349 |
| FMA | 77132 |
| Anatomical terminology | |
There are three pericardial sinuses: superior, transverse and oblique.[1]
- The superior sinus cannot be assessed in electrophysiology procedures.[1]
- The oblique sinus is a reflection of the venae cavae and pulmonary veins.[2] It lies behind the atria (particularly the left atrium),[1] and in between left and right pulmonary veins.
- The transverse sinus is the passage between the venous and arterial mesocardia. It is found behind the aorta and pulmonary trunk , and anterior to the superior vena cava.[1][3] This sinus is clinically important because passing one end of clamp through the sinus, and the other end anterior to the aorta/pulmonary trunk will allow complete blockage of blood output. This is performed during some heart surgeries.[citation needed]
References
This article incorporates text in the public domain from page 526 of the 20th edition of Gray's Anatomy (1918)
- ^ a b c d Issa, Ziad F.; Miller, John M.; Zipes, Douglas P. (2019-01-01), Issa, Ziad F.; Miller, John M.; Zipes, Douglas P. (eds.), "27 - Epicardial Ventricular Tachycardia", Clinical Arrhythmology and Electrophysiology (Third Edition), Philadelphia: Elsevier, pp. 907–924, doi:10.1016/b978-0-323-52356-1.00027-x, ISBN 978-0-323-52356-1, retrieved 2020-11-16
- ^ Klick, John C.; Ali, Jafer; Avery, Edwin G. (2014-01-01), Reich, David L.; Fischer, Gregory W. (eds.), "23 - Echocardiographic Evaluation of Pericardial Disease", Perioperative Transesophageal Echocardiography, Philadelphia: W.B. Saunders, pp. 253–264, doi:10.1016/b978-1-4557-0761-4.00023-2, ISBN 978-1-4557-0761-4, retrieved 2020-11-16
- ^ Oxorn, Donald C.; Otto, Catherine M. (2018-01-01), Oxorn, Donald C.; Otto, Catherine M. (eds.), "9 - Pericardial disease", Intraoperative and Interventional Echocardiography (Second Edition), Elsevier, pp. 311–322, doi:10.1016/b978-0-323-35825-5.00018-x, ISBN 978-0-323-35825-5, retrieved 2020-11-16
External links
- Anatomy photo:20:04-0101 at the SUNY Downstate Medical Center - "Heart: Transverse and Oblique Pericardial Sinuses"
- thoraxlesson4 at The Anatomy Lesson by Wesley Norman (Georgetown University) (pericardialsinuses)
