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The great cardiac vein.

B Pejkovic¹, D Bogdanovic

¹Institute of Anatomy, Faculty of Medicine, University of Belgrade, Yugoslavia.

Surgical and Radiologic Anatomy : SRA

|January 1, 1992

Summary

The great cardiac vein, the heart's longest vessel, often originates in the anterior interventricular sulcus. It forms a venous ring with other cardiac veins and arteries, with variable anatomical relationships.

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Area of Science:

Cardiovascular Anatomy
Cardiac Veins
Coronary Anatomy

Background:

The great cardiac vein is the longest venous vessel in the heart.
Understanding its origin and course is crucial for cardiac procedures.

Purpose of the Study:

To describe the anatomical course and relationships of the great cardiac vein.
To analyze its origin, tributaries, and arterial associations.

Main Methods:

Anatomical dissection and observation.
Analysis of origin points and venous confluence patterns.

Main Results:

The great cardiac vein most commonly originates in the lower third of the anterior interventricular sulcus (58%).
It merges with the middle cardiac vein at the apex, forming a venous ring with the coronary sinus around the left ventricle.
The vein crosses anterior interventricular and circumflex coronary artery branches, forming the triangle of Brocq and Mouchet, with unpredictable arterial relationships in 30% of cases.

Conclusions:

The great cardiac vein exhibits a consistent origin but variable relationships with coronary arteries.
Detailed anatomical knowledge is essential for interpreting imaging and planning interventions.

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