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Thebesian veins as drainage to the ventricle: A case report

Niklas F Boeder1, Holger M Nef1, Timm Bauer1

  • 1Department of Cardiology, University of Giessen, Klinikstrasse 33, 35392 Giessen, Germany.

Cardiovascular Revascularization Medicine : Including Molecular Interventions
|October 17, 2016
PubMed

Insights

Coronary angiography ruled out heart disease but revealed unusual coronary vessel drainage into heart chambers. These Thebesian veins, usually benign, can have clinical significance in specific patient cases.

Area of Science:

  • Cardiology
  • Cardiac Anatomy
  • Vascular Medicine

Background:

  • Recurrent angina pectoris (CCS III) in a 64-year-old woman prompted cardiac evaluation.
  • The patient presented with a high cardiovascular risk profile, necessitating further investigation.

Observation:

  • Coronary angiography was performed to assess for coronary heart disease.
  • The procedure excluded significant coronary artery disease.

Findings:

  • Angiography revealed an anomalous direct drainage of coronary vessels into the heart chambers.
  • This finding identified the presence of Thebesian veins, also known as Thebesian venous system.

Implications:

  • Thebesian veins are typically venoluminal and often clinically insignificant.
  • In select cases, these anomalous venous connections may have clinical relevance requiring further investigation or management.

Keywords:
Stable angina pectorisThebesian veinsVenae cordis minimae

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