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Updated: May 11, 2026

Anatomical Reconstructions of the Human Cardiac Venous System using Contrast-computed Tomography of Perfusion-fixed Specimens
Published on: April 18, 2013
Normal anatomy and variants of the venous cardiac system in MDCT coronary angiography
Roberto Malagò1, Giuseppe Sala, Andrea Pezzato
1Radiology Department, Policlinico "G.B. Rossi", Azienda Ospedaliero Universitaria Integrata, P.le L.A.Scuro 10, 37134, Verona, Italy, rmalag@sirm.org.
Insights
Understanding cardiac venous anatomy is crucial for interventional procedures. Multidetector computed tomography coronary angiography (MDCT-CA) noninvasively visualizes cardiac veins and their anatomical variants, aiding procedural planning.
Area of Science:
- Cardiovascular Anatomy
- Medical Imaging
- Interventional Cardiology
Background:
- The heart's venous drainage involves three variable systems.
- Variations in cardiac veins can complicate cardiac interventions.
- Accurate anatomical knowledge is vital for successful procedures.
Purpose of the Study:
- To review the anatomy and common variants of the cardiac venous system.
- To illustrate these findings using multidetector computed tomography coronary angiography (MDCT-CA).
Main Methods:
- Utilized multidetector computed tomography coronary angiography (MDCT-CA).
- Employed multiplanar reformations (MPR), maximum intensity projection (MIP), and 3D reconstructions.
- Focused on noninvasive visualization of cardiac veins.
Main Results:
- Detailed description of the cardiac venous system's anatomy.
- Identification and illustration of significant anatomical variants.
- Demonstration of MDCT-CA's utility in venous visualization.
Conclusions:
- MDCT-CA effectively visualizes cardiac venous anatomy and variants.
- This imaging modality is essential for planning interventional cardiac procedures.
- Understanding venous variations improves interventional success rates.
Abstract:
Three separate venous systems drain the blood returning from the heart walls. These veins are characterised by remarkable variability in terms of frequency, size and course. The knowledge of cardiac venous anatomy is of primary importance during interventional cardiac procedures that require catheterisation of cardiac veins. Some anatomical variants may hinder or contraindicate access to target veins. Coronary angiography (CA) with multidetector computed tomography (MDCT-CA) and multiplanar reformations (MPR), maximum intensity projection (MIP) and 3D reconstructions provides noninvasive visualisation of normal cardiac veins and anatomical variants. The purpose of this pictorial review is to describe by MDCT-CA the anatomy and main variants of the cardiac venous system.
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