von Lüdinghausen M
Anatomisches Institut der Universität Würzburg.
Gegenbaurs Morphol Jahrb. 1989;135(3):475-8.
A rarely encountered aberrant course of the great cardiac vein was found during exploration of 250 human heart specimens in 1984 to 1987. Originating in the distal anterior interventricular groove, it leaves the sulcus to the right, passes the arterial conus, and crosses the right atrioventricular groove, and empties, together with the anterior cardiac veins, into the right atrium. So the great cardiac vein is not a tributary of the coronary sinus. This atypical variant can be explained phylogenetically as the result of an unusual development of the anterior cardiac vein system. Comparative anatomy demonstrates some birds and some mammalia showing large anterior cardiac veins and anterior conus veins, which drain the right lateral and anterior wall of the heart and empty into the right atrium or the superior vena cava. Our specimen may be interpreted as a remnant and as an enlarged conus vein. There is no known previous description of such a variation.
在1984年至1987年对250例人体心脏标本进行探查期间，发现了一种罕见的大心脏静脉走行异常情况。它起源于前室间沟远端，离开该沟向右侧走行，经过动脉圆锥，穿过右房室沟，然后与心前静脉一起汇入右心房。因此，大心脏静脉不是冠状窦的属支。这种非典型变异从系统发育角度可解释为心前静脉系统异常发育的结果。比较解剖学显示，一些鸟类和一些哺乳动物具有粗大的心前静脉和前圆锥静脉，它们引流心脏的右外侧壁和前壁，并汇入右心房或上腔静脉。我们的标本可解释为一种残留结构以及一条扩大的圆锥静脉。此前尚无关于这种变异的描述。
