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ORIGINAL ARTICLE Evaluation of the Coronary Sinus on Chest Computed Tomography in Patients With and Without Pulmonary Artery Hypertension David Isaacs, MD,* Saman Hazany, MD,* Anthony Gamst, PhD,Þ Paul Stark, MD,*§ and Ehtisham Mahmud, MD, FACCþ showed a positive correlation between pulmonary artery Objective: To identify and measure the coronary sinus (CS) in patients pressure (PAP) and CS diameter in patients with mitral with and without pulmonary artery hypertension (PAH) using chest regurgitation. Similarly, Mahmud et al used transthoracic echo- computed tomography (CT). cardiography to demonstrate a positive correlation between CS Methods: Using a 4-channel GE LightSpeed CT scanner, nongated diameter and both RA size and RA pressure in patients with axial chest CT images were obtained after intravenous injection of con- pulmonary artery hypertension (PAH). trast material. Catheterization of the right side of the heart was performed This study uses chest CT to identify the CS and measure its in patients with known or suspected PAH. diameter in patients with and without PAH. We hypothesized Results: The CS was identified in all 60 patients (mean T SD, 60.5 T that, in patients with PAH, the CS diameter on chest CTwould be 17.5 years; 45% men) without PAH (control
Journal of Computer Assisted Tomography – Wolters Kluwer Health
Published: Jul 1, 2009
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