Burysz Marian, Batko Jakub, Olejek Wojciech, Piotrowski Michał, Litwinowicz Radosław, Słomka Artur, Kowalewski Mariusz, Suwalski Piotr, Bartuś Krzysztof, Rams Daniel
Department of Cardiac Surgery, Regional Specialist Hospital, 86-300 Grudziądz, Poland.
Thoracic Research Centre, Collegium Medicum Nicolaus Copernicus University, Innovative Medical Forum, 85-094 Bydgoszcz, Poland.
J Clin Med. 2023 Jun 27;12(13):4320. doi: 10.3390/jcm12134320.
The pericardial sinuses are an important anatomical feature of the pericardial cavity, however, their clinical anatomy has not been thoroughly studied. In this study, we aim to provide the first classification of the oblique and transverse sinuses. We analyzed 121 computer tomography scans (46.3% female, age of 66 ± 12 years) of the pericardial cavity. The oblique sinuses were classified into four types: 1 (shallow with narrow entrance), 2 (shallow with wide entrance), 3 (deep with narrow entrance), and 4 (deep with wide entrance). The transverse sinuses were classified into four types: Concave, Wine-type, Straight, and Convex. The most common oblique sinus type was Type 1. The median oblique sinus volume was 8.4 (5.3) mL, the median entrance length was 33.0 (13.2) mm, and the depth was 38.2 (11.8) mm. The most common transverse sinus type was Concave. The median transverse sinus volume was 14.8 (6.5) mL, and the median length was 52.8 (17.7) mm. Our study provides an anatomical classification of the pericardial sinuses. The individual variability of the sinuses' morphology highlights the importance of understanding the clinical topography of the sinuses, particularly for minimally invasive thoracic ablation procedures.
心包窦是心包腔的一个重要解剖特征，然而，其临床解剖学尚未得到充分研究。在本研究中，我们旨在首次对斜窦和横窦进行分类。我们分析了121例心包腔的计算机断层扫描（女性占46.3%，年龄66±12岁）。斜窦分为四种类型：1型（入口窄且浅）、2型（入口宽且浅）、3型（入口窄且深）和4型（入口宽且深）。横窦分为四种类型：凹型、酒杯型、直型和凸型。最常见的斜窦类型是1型。斜窦的中位容积为8.4（5.3）mL，中位入口长度为33.0（13.2）mm，深度为38.2（11.8）mm。最常见的横窦类型是凹型。横窦的中位容积为14.8（6.5）mL，中位长度为52.8（17.7）mm。我们的研究提供了心包窦的解剖学分类。窦形态的个体变异性凸显了了解窦临床局部解剖的重要性，特别是对于微创胸段消融手术而言。
