Prevalence and Sex-Related Structural Differences of the Thebesian Valve in a Select Kenyan Population: Autopsy Study.
Article DOI: https://doi.org/10.64573/torgj2509007
Authors: Josphat Kimani1*, James Kigera1, Moses Obimbo1, Oliver Kinoti1, Ian Ng’ang’a1, Mohammed Farah1
| 1Department of Human Anatomy and Medical Physiology, University of Nairobi, Kenya. |

Cite:
- APA (7th edition): Kimani, J., Kigera, J., Obimbo, M., Kinoti, O., Ng’ang’a, I., & Farah, M. (2025, December 3). Prevalence and sex-related structural differences of the Thebesian valve in a select Kenyan population: Autopsy study. The Operating Room Global Journal (TORGJ), 1(2). https://doi.org/10.64573/torgj2509007
- Harvard: Kimani, J., Kigera, J., Obimbo, M., Kinoti, O., Ng’ang’a, I. and Farah, M., 2025. Prevalence and sex-related structural differences of the Thebesian valve in a select Kenyan population: Autopsy study. The Operating Room Global Journal (TORGJ), 1(2). Published 3 December. Available at: https://doi.org/10.64573/torgj2509007
- Vancouver: Kimani J, Kigera J, Obimbo M, Kinoti O, Ng’ang’a I, Farah M. Prevalence and sex-related structural differences of the Thebesian valve in a select Kenyan population: Autopsy study. The Operating Room Global Journal (TORGJ). 2025 Dec 3;1(2). https://doi.org/10.64573/torgj2509007
- MLA (9th edition): Kimani, Josphat, et al. “Prevalence and Sex-Related Structural Differences of the Thebesian Valve in a Select Kenyan Population: Autopsy Study.” The Operating Room Global Journal (TORGJ), vol. 1, no. 2, 3 Dec. 2025, https://doi.org/10.64573/torgj2509007
- Chicago (Author–Date): Kimani, Josphat, James Kigera, Moses Obimbo, Oliver Kinoti, Ian Ng’ang’a, and Mohammed Farah. 2025. “Prevalence and Sex-Related Structural Differences of the Thebesian Valve in a Select Kenyan Population: Autopsy Study.” The Operating Room Global Journal (TORGJ) 1 (2), December 3. https://doi.org/10.64573/torgj2509007
Corresponding Author*:
Josphat Kimani
[email protected]
Declaration:
Authors’ Contribution:
Equal contributions.
Conflict of Interest:
No conflict of interest.
Funding:
No funding received by the authors.
| Article History: |
| Received: 28-9-2025 Accepted: 24-11-2025 |
| Available Online: 03-12-2025 |
| QR Code Access to this Article |

| ABSTRACT |
| Background The coronary sinus is increasingly being used for cardiovascular interventional procedures. Thebesian valve, an endocardial remnant located at the coronary sinus opening into the right atrium, can hinder catheterization of the coronary sinus. The valve morphology varies between individuals. Despite its clinical relevance, data on its prevalence and morphology, particularly by sex, especially in African population, remain limited. Therefore, this study aimed to investigate the prevalence and sex-related structural differences in the Thebesian valves. Methods A total of 100 post-mortem hearts (63 males, 37 females) were examined. The coronary sinus and Thebesian valve were measured, photographed, and classified by morphology. Data were analyzed using appropriate statistical tests, including Mann-Whitney U and Spearman’s correlation. Results The Thebesian valve was present in 73% of hearts and showed varied morphologies. Absence of the valve was associated with a larger coronary sinus opening. Percentage occlusion of the coronary sinus opening was higher in males, though sex-related structural differences were not statistically significant. Age showed no influence on valve morphology. Positive correlations were observed between heart size and coronary sinus dimensions. In conclusion, the study highlights anatomical variations that may impact interventional procedures involving the coronary sinus. Keywords: Thebesian valve, coronary sinus, prevalence, variations. |
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