Middle cardiac vein

The middle cardiac vein commences at the apex of the heart; ascends in the posterior longitudinal sulcus, and ends in the coronary sinus near its right extremity.

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 to	Coronary sinus
Artery	Posterior interventricular artery
Identifiers
Latin	Vena cardiaca media, vena cordis media
TA98	A12.3.01.009
TA2	4165
FMA	4713
Anatomical terminology

Structure

Variation

The middle cardiac vein has a constant location on the surface of the ventricles.[1]

Clinical significance

The middle cardiac vein is useful for epicardial access to the inferior side of the ventricles.[2]

References

This article incorporates text in the public domain from page 642 of the 20th edition of Gray's Anatomy (1918)

1. 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
2. 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

External links

• Anatomy figure: 20:04-05 at Human Anatomy Online, SUNY Downstate Medical Center - "Posterior view of the heart."