Morphology of the region of the coronary sinus in respect to coronary sinus rhythm.
The arterial supply to the region of the coronary sinus and the interatrial septum was examined in 18 normal canine hearts. In 13 of a further 18 dogs, coronary sinus rhythm was evoked by the ligation of atrial arteries, subsequent to which the arteries were visualized by injection of latex. A stable coronary sinus rhythm is evoked by producing ischaemia in an extensive area of the right atrium, including the sinus node, the interatrial septum and Bachmann's bundle, but preserving from ischaemia the posteroinferior part of the right atrium. Microscopical examination of the hearts with coronary sinus rhythm, and comparison with 9 control hearts, failed to demonstrate any morphological centre, in the form of nodal cells, which might have been responsible for the abnormal rhythm. In the posterior part of the right atrium, the ischaemic changes failed to affect the approaches of the atrioventricular node. The approaches were predominantly composed of cells poor in myofibrils mixed to a variable degree with cells of the working myocardium. We discuss the possibilities of the development of coronary sinus rhythm and "circus movement" with regard to the participation of the approaches to the atrioventricular node.
Eliska
O
O
Department of Anatomy, Medical Faculty, Charles' University, Prague, Czechoslovakia.
Eliskova
M
M
D000818:Animals; D001146:Arrhythmia, Sinus / Q000209:etiology* / Q000473:pathology; D003327:Coronary Disease / Q000503:physiopathology; D004285:Dogs; D006325:Heart Atria / Q000648:ultrastructure; D009206:Myocardium / Q000648:ultrastructure; D012849:Sinoatrial Node / Q000033:anatomy & histology*