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Updated: Aug 8, 2026

Anatomical Reconstructions of the Human Cardiac Venous System using Contrast-computed Tomography of Perfusion-fixed Specimens
Published on: April 18, 2013
[Structural features of the heart coronary sinus in adult humans]
Insights
Human coronary sinus dimensions vary by gender, being larger in males. Its shape changes with age, especially in individuals with cardiovascular conditions, impacting its morphology.
Area of Science:
- Cardiovascular Anatomy
- Human Morphology
- Cardiac Electrophysiology
Background:
- The coronary sinus is a critical venous structure in the heart.
- Understanding its morphologic and morphometric characteristics is vital for cardiac procedures.
- Age- and gender-related variations may influence its function and clinical relevance.
Purpose of the Study:
- To investigate the morphologic features and morphometric parameters of the human coronary sinus.
- To analyze age- and gender-dependent differences in coronary sinus anatomy.
- To correlate coronary sinus shape and dimensions with cardiovascular health status.
Main Methods:
- Analysis of 330 human hearts (male and female, aged 21-92 years).
- Measurement of coronary sinus length, width, and shape characteristics at its atrial entrance.
- Histological examination of 57 specimens using hematoxylin-eosin, van-Gieson's, and Hart's stains to analyze tunics and thickness.
Main Results:
- Coronary sinus length and width were significantly larger in males.
- Coronary sinus width increased with age in patients with left ventricular loading.
- Shape transformation (cylindrical to conical) observed with age in healthy individuals; conical shape persisted in patients with cardiovascular disease.
Conclusions:
- Coronary sinus dimensions exhibit significant gender-based differences.
- Age and cardiovascular conditions influence coronary sinus morphology and shape.
- These findings provide crucial anatomical insights for cardiovascular research and clinical practice.
Abstract:
The aim of investigation was to study the morphologic features and morphometric parameters of coronary sinus of the human heart with special reference to age- and gender-dependent differences. 330 hearts of male and female patients, who died at the age of 21-92 years from different reasons, were in studied. The length and width of coronary sinus and its main shape characteristics were analyzed. 57 histological specimens were stained with hematoxylin-eosin, using van-Gieson's and Hart's method. The coronary sinus tunics were described and their thickness was measured. As the result of this study, it was found that both length and width of coronary sinus at the point of its entrance into the right atrium were dependent on the gender of the patients and were larger in males. The width of coronary sinus increased with age in the patients with diseases characterized by predominant loading of the left ventricle. In these patients, conical shape of coronary sinus was present in all the ages. In humans with no diseases of cardiovascular system, the shape of coronary sinus was shown to change with age from cylindrical to conical. The thickness of tunics forming the walls of coronary sinus in this group was independent on gender and age.
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