The artery of Mouchet: blood supply of the septomarginal trabecula in 50 human hearts

SUMMARY The septomarginal trabecula is a muscular structure which transmits the right branch of the atrioventricular bundle. It is usually supplied by a branch from the second anterior septal artery. Anastomoses between the right and left coronary arteries may happen on the septomarginal trabecula. They are of great significance in order to prevent ischemia during a myocardial infarction. Surgeries such as Konno's and Ross' procedures implies in knowledge of these vessels anatomy. The coronary arteries of 50 human hearts were injected with latex and subsequentely dissected with the purpose of identifying the arterial branch that supplied the septomarginal trabecula. The trabecular branch arose from the second anterior septal artery in 38% of cases, and the branch arose from the first anterior septal artery in 26%. One of the hearts had its septomarginal trabecula supplied by the conus arteriosus arteryliterature. Anastomoses between the right and left coronary arteries were found inside the septomarginal trabecula. The right branch of the atrioventricular bundle is subject to a great number of clinical conditions and is often manipulated during surgery, thus, the study of the septal branches of the coronary arteries and the trabecular branch is essential.

RESUMO A trabécula septomarginal é uma estrutura muscular que transmite o ramo direito do feixe atrioventricular. É usualmente suprida por um ramo da segunda artéria septal anterior. Anastomoses entre as artérias coronárias direita e esquerda podem ocorrer na trabécula. São de grande significância especialmente na prevenção de isquemia durante um infarto do miocárdio. Procedimentos cirúrgicos como o de Konno's e Ross implicam conhecimento anatômico desses vasos. As artérias coronárias de 50 corações humanos foram injetadas com látex e dissecadas com o propósito de identificar o ramo arterial que supria a trabécula septomarginal. Em somente 38% dos casos o ramo foi proveniente da segunda artéria septal anterior, enquanto que em 26% dos casos a artéria se originou da primeira septal anterior. Um dos corações teve a trabécula septomarginal suprida por um ramo originário da artéria do cone arterioso. Além disso, foram encontradas anastomoses entre as artérias coronárias no interior da trabécula septomarginal. Em suma, o ramo direito do feixe atrioventricular está sujeito a inúmeras condições clínicas e é alvo de manuseio em cirurgias, logo, o estudo dos ramos septais das artérias coronárias, em especial o ramo trabecular é essencial.

Morphological description of great cardiac vein in pigs compared to human hearts / Descrição morfológica da grande veia cardíaca em suínos em comparação com corações humanos

Introduction: In spite of its importance as an experimental model, the information on the great cardiac vein in pigs is sparse. Objective: To determine the morphologic characteristics of the great cardiac vein and its tributaries in pigs. Methods: 120 hearts extracted from pigs destined to the slaughterhouse with stunning method were studied. This descriptive cross-over study evaluated continuous variables with T test and discrete variables with Pearson χ square test. A level of significance P<0.05 was used. The great cardiac vein and its tributaries were perfused with polyester resin (85% Palatal and 15% Styrene) and then subjected to potassium hydroxide infusion to release the subepicardial fat. Calibers were measured, and trajectories and relations with adjacent arterial structures were evaluated. Results: The origin of the great cardiac vein was observed at the heart apex in 91 (76%) hearts. The arterio-venous trigone was present in 117 (97.5%) specimens, corresponding to the open expression in its lower segment and to the closed expression in the upper segment in the majority of the cases (65%). The caliber of the great cardiac vein at the upper segment of the paraconal interventricular sulcus was 3.73±0.79 mm. An anastomosis between the great cardiac vein and the middle cardiac vein was found in 59 (49%) specimens. Conclusion: The morphological and biometric characteristics of the great cardiac vein and its tributaries had not been reported in prior studies, and due to their similitude with those of the human heart, allows us to propose the pig model for procedural and hemodynamic applications. .

Introdução: Apesar de sua importância como um modelo experimental, a informação sobre a grande veia cardíaca em suínos é esparsa. Objetivo: Determinar as características morfológicas da grande veia cardíaca e suas tributárias em suínos. Métodos: Foram estudados 120 corações extraídos de suínos destinados para o matadouro com método de atordoamento. Este estudo descritivo cross-over avaliou variáveis contínuas com teste T e variáveis discretas com teste χ quadrado de Pearson. O nível de significância P<0,05 foi usado. A grande veia cardíaca e suas tributárias foram perfundidas com resina de poliéster (85% palatal e estireno de 15%) e, em seguida, submetidas à infusão de hidróxido de potássio para remover a gordura subepicardal. Os calibres foram medidos e trajetórias e relações com estruturas arteriais adjacentes foram avaliadas. Resultados: A origem da grande veia cardíaca foi observada no ápice do coração em 91 (76%) espécimes. O trígono arteriovenoso estava presente em 117 (97,5%) espécimes, correspondente à expressão aberta no seu segmento inferior e para a expressão fechada no segmento superior na maioria dos casos (65%). O calibre da grande veia cardíaca no segmento superior do sulco interventricular paraconal foi de 3,73±0,79 mm. Uma anastomose entre a grande veia cardíaca e da veia cardíaca média foi encontrada em 59 (49%) espécimes. Conclusão: As características morfológicas e biométricas da grande veia cardíaca e suas tributárias não haviam sido relatadas em estudos anteriores e, devido à sua semelhança com as do coração humano, nos permite propor o modelo porcino para procedimentos e aplicações hemodinâmicas. .

Comparison between linear evaluation and fractal geometry of the human and sheep heart

Introduction: The comparison between the anatomical heart sheep and the human heart in a straight line shows a high degree of similarity; the dimensions of the heart sheep closely resemble the human heart. Materials and Methods: All analyzes and photographs taken from the sheep heart and human heart were performed in the laboratory of human anatomy, department of health and biological sciences, State University of Ponta Grossa. The morphometric analysis included 8 specimens heart study material pertaining to the anatomy lab UEPG. The sheep hearts were obtained from slaughterhouse taking into account the relative weight next to the human, between 60 and 70kg. Measurements were taken with digital calipers. Results: Internally it is possible to observe the macroscopic similarity between the atrial ventricular chambers of the sheep heart and the human heart. In a non-linear analysis, it can be concluded that they are distinct in complexity, as the human heart shown largest value of fractal dimension in relation to the sheep heart. Conclusion: The comparative study suggests more comprehensive use of the sheep heart as a model for anatomical study, due to its proximity to the human heart, but denotes the differences in complexity between the organs through the use of fractal dimension.(AU)

Experiência com um método para dissecação anatômica que permite oexame macro e microscópico das artérias cardíacas / Experience with a method for anatomic dissection that allows macroand microscopic examination of the cardiac arteries

Aims: There are few descriptions of techniques for dissecting the cardiac arteries. This article presents the experience with a technique that allows histological evaluation of atherosclerosis and concomitant macroscopic evaluation of anatomic alterations.Methods: Fifty dissections were performed by using this technique. The arteries from the inferior wall are dissected first, from their ends until their origins, then the anterior wall, the left coronary and the right coronary arteries.Results: Dissection takes from 20 to 40 minutes to be performed. All anatomic alterations could be evaluated, and there was no compromising in the analysis of atherosclerosis. The heart and the adipose tissue could be used afterwards for further analysis.Conclusions: This technique is specific for the dissection of the arterial bed of the heart for the analysis of atherosclerosis possible anatomic alterations. Damage to the vessels and the myocardium is minimum, and the technique is fast and can be easily performed during autopsies or adapted for the surgical center.

Objetivos: Há poucas técnicas descritas para a dissecação das artérias cardíacas. Este artigo apresenta a experiência com uma técnica que permite a avaliação histológica da aterosclerose e análise concomitante de alterações anatômicas. Métodos: Cinquenta dissecações foram realizadas através desta técnica. As artérias da parede inferior são dissecadas primeiro, do seu fim até sua origem, depois a parede anterior, a artéria coronária esquerda e a direita. Resultados: A dissecação demora entre 20 e 40 minutos para ser realizada. Todas as alterações anatômicas puderam ser avaliadas, e não houve comprometimento da análise de aterosclerose. O coração e o tecido adiposo puderam ser usados posteriormente para outras análises. Conclusões: Esta técnica é específica para dissecação do leito arterial cardíaco visando análise de aterosclerose e possíveis alterações anatômicas. A lesão aos vasos e ao miocárdio é mínima, a técnica é rápida e pode ser facilmente realizada durante autopsias ou adaptada para o centro cirúrgico.

Distribución de las arterias coronarias en el rinoceronte blanco (Ceratotherium simum) / Distribution of coronary arteries in the white rhinoceros (Ceratotherium simum)

Nosotros disecamos un corazón de rinoceronte blanco con el objetivo de dar una descripción anatómica de la distribución de sus arterias coronarias. Se registró la longitud y el calibre de las ramas principales. Las arterias coronarias tenían el mismo calibre en su origen y la arteria coronaria derecha emitía la rama interventricular subsinusal, el rinoceronte correspondía al patrón de coronaria derecha. La arteria coronaria izquierda emitida en el seno izquierdo de la aorta se dividía en tres ramas (trifurcación), la rama interventricular paraconal, la rama circunfleja y la rama diagonal.

We dissected the heart of white rhino in order to give an anatomical description of the distribution of coronary arteries. We recorded the length and caliber of the main branches. The coronary arteries were the same caliber at its origin and the right coronary artery emitted subsinusal interventricular branch, rhinoceros corresponded to the pattern of the right coronary artery. The left coronary artery is released into the left breast of the aorta was divided into three branches (trifurcation) paraconal interventricular branch, circumflex branch and diagonal branch.

Gross anatomy of the heart in the western grey kangaroo (Macropus fuliginosus) / Anatomía macroscópica del corazón en el canguro gris occidental (Macropus fuliginosus)

The aim of this study was provide a description of the macroscopic heart anatomy of the kangaroo Macropus fuliginosus. The terms of the Nomina Anatomica Veterinaria were employed. Heart did not have interventricular sulcus. Auricles were located in both faces of the heart. Right ventricle had slight septomarginal trabecula that extended between papilar muscles and the parietal wall. Right ventricle parietal wall had plenty of trabecula carneae. Septal wall was smooth and had three papilar muscles. Papilar muscles of left ventricle were two and they were located over parietal wall. Septal walls and parietal of left ventricle were full of trabecula carneae that surrounded papilar muscles. Two vessels derived from the aorta, right and left sinus coronary arteries and a septal artery. Septal artery gave irrigation to interventricular septum and derived from left sinus of the aorta and their lumen had a higher diameter than the left coronary artery. Coronary arteries had intra myocardic route.

El objetivo de este estudio fue proporcionar una descripción de la anatomía macroscópica de corazón el canguro Macropus fuliginosus. Fueron empleados los términos de la Nomina Anatómica Veterinaria. El corazón no tuvo surco interventricular. Las aurículas se encontraban en ambas caras del corazón. El ventrículo derecho presentó una trabécula septomarginal delgada que se extendía entre los músculos de la pared papilar y parietal. La pared parietal del ventrículo derecho presentó un montón de trabéculas carnosas. La pared septal era lisa y tenía tres músculos papilares. Los músculos papilares del ventrículo izquierdo fueron dos y se encontraron en la pared parietal. Las paredes septal y parietal del ventrículo izquierdo estaban llenas de trabéculas carnosas que rodeaban los músculos papilares. Dos vasos procedentes desde la aorta, arterias del seno coronario derecho e izquierdo, y la arteria septal. La arteria septal dio irrigación al septo interventricular y derivada desde el seno izquierdo de la aorta y su lumen tuvo un mayor diámetro que la arteria coronaria izquierda. Las arterias coronarias presentaron un trayecto intramiocardico.

Dissection of helical ventricular ventricular myocardial band in the heart of swine with sparing of coronary system / 中华胸心血管外科杂志

Objective Based on the Helical Ventricular Myocardial Band (HVMB) theory proposed by Torrent-Guasp,the ventricular myocardial hand extends from the root of the pulmonary artery to the root of the aorta with two helical coils.This new theory is considered as a revolutionary concept for further understanding the global, three-dimensional and functional architecture of the ven- tricular myocardium. No repot had described techniques for disecting HVMB while keepin～ the integrity of the coronmy artery sys- tern. We explored techniques for dissecting HVMB in swine.Methads 33 fresh swine hearts were randomly divided intoll groups, 3 bearts in each. 160% barium sulfate (type I)suspmmion was injected into the coronary artery system. The coronary arteries were li- gated. The strial tissue was removed following puuing the hearts in boiling water then cooling for several hours. The superficial coro- nary vessels and fat tissue around the atrio-ventricular taxi inter-ventricular sulcus we～'e preserved. Some branches of the left anterior descending artery, distal segment, of posterior descending branch, and middle and distal segment of obtuse marginal branches were mu- tilated appropriately. HVMB dissection was completed with fingers in accordnce with Torrent Guasp' s technique. Results A contin- ued bundle of muscle, originated at the root of pulmonary artery and ended at the root of aorta, was unwrapped along the major dire- tion of the cardiac muscle fiber in all of the 33 hearts with spating of the coronary artery. The swine hearts' ventricular myocandium was cumosed of two loops, with basal loop firm the root of the pulmonart artery to the anterior papillary muscle and apical from the beginning of the anterior papillary muscle to the root tithe aorta. Each loop consisted of two segments: the right segment-coincid- ing with the right ventricular free wall and the left segment-coinciding with the basal d the left ventricular free wall. Posterior papillary muscle, which belongs to the descendant segment, denmrcated the border between the descendent and the ascendant of the HVMB's apical loop. Conclusion Although controversies about the theory of the HVMB remain, we have dissected the HVMB in the swine hearts' ventricular myocardium successfully with sparing of the coronary artery systems. This dissection procedure provides technical information for the studies of associated diseases based on the theory of HVMB.

Empirical study of the anatomic structure of ventricular myocardial band / 中华胸心血管外科杂志

0.05). The length percentage of the ascending segment and the weight of the descending segment were greater than other segment in all hearts. The myocardial band twists on itself extends from the origin of the pulmonary artery to the root of the aorta. This defines two turns in a helical fashion and delimitates two cavities, the right and left ventricles. Conclusion Our study shows that the concept of ventricular myocardial band is a truly basic architecture of the heart.

An study on spatial orienfation of ventricular myocardial band / 中华胸心血管外科杂志

Objective By dissected and decomposed the boiled rabbits' hearts to study the space courser of ventricular myocardial band of the normal heart architecture. Methods 10 rabbit hearts were boiled and dissected as described by Torrent-Guasp. All myocardial bands were decomposed and tagged, then recovered to the state when they hadn't been dissected, and then X-ray photos were taken. Results The myocardial band twists on itself extends from the origin of the pulmonary artery to the root of the aorta. This defines two turns in a helical fashion and delimitates two cavities, the right and left ventricles. The reciprocal fiber angle within descending and ascending segments of the apical loop was about 90?. The interventricular septum is formed by three muscular strata: right segment, descending segment and ascending segment. Conclusion Our study shows that the reciprocal fiber angle within descending and ascending segments of the apical loop is about 90? and the interventricular septum is formed by three muscular strata.