Middle cardiac vein

The middle cardiac vein commences at the apex of the heart. It passes posteriorly along the inferior interventricular sulcus to end at the coronary sinus near the sinus' termination.[1]

Middle cardiac vein
Base and diaphragmatic surface of heart. (Middle cardiac vein labeled at bottom.)
ARTERIES:
RCA = right coronary
AB = atrial branches
SANB = sinuatrial nodal
RMA = right marginal
LCA = left coronary
CB = circumflex branch
LAD/AIB = anterior interventricular
LMA = left marginal
PIA/PDA = posterior descending
AVN = atrioventricular nodal

VEINS:
SCV = small cardiac
ACV = anterior cardiac
AIV/GCV = great cardiac
MCV = middle cardiac
CS = coronary sinus
Details
Drains toCoronary sinus
ArteryPosterior interventricular artery
Identifiers
Latinvena cardiaca media,
vena cordis media
TA98A12.3.01.009
TA24165
FMA4713
Anatomical terminology

Structure

Origin

The middle cardiac vein commences at the cardiac apex (here, it is contiguous with the great cardiac vein, thus forming - along with the coronary sinus - a complete venous circle).[1]

Variation

The middle cardiac vein has a constant location on the surface of the ventricles.[2]

Clinical significance

The middle cardiac vein is useful for epicardial access to the inferior side of the ventricles.[3]

References

  1. Standring, Susan (2020). Gray's Anatomy: The Anatomical Basis of Clinical Practice (42nd ed.). New York. p. 1093. ISBN 978-0-7020-7707-4. OCLC 1201341621.{{cite book}}: CS1 maint: location missing publisher (link)
  2. Worley, Seth J. (2017-01-01), Ellenbogen, Kenneth A.; Wilkoff, Bruce L.; Kay, G. Neal; Lau, Chu-Pak (eds.), "30 - Coronary Sinus Lead Implantation", Clinical Cardiac Pacing, Defibrillation and Resynchronization Therapy (Fifth Edition), Elsevier, pp. 739–834, ISBN 978-0-323-37804-8, retrieved 2021-01-08
  3. Issa, Ziad F.; Miller, John M.; Zipes, Douglas P. (2012-01-01), Issa, Ziad F.; Miller, John M.; Zipes, Douglas P. (eds.), "Chapter 27 - Epicardial Ventricular Tachycardia", Clinical Arrhythmology and Electrophysiology: A Companion to Braunwald's Heart Disease (Second Edition), Philadelphia: W.B. Saunders, pp. 608–617, ISBN 978-1-4557-1274-8, retrieved 2021-01-08


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