Silver M A, Rowley N E
Department of Medicine, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL.
Am Heart J. 1988 May;115(5):1080-4. doi: 10.1016/0002-8703(88)90080-4.
The human coronary sinus is an important part of the cardiac venous system that serves as an anatomic landmark as well as a conduit for diagnostic and therapeutic procedures. We studied 50 human coronary sinuses of hearts of normal and increased cardiac weight in order to ascertain various functional anatomic features of the coronary sinus and differences between hearts of normal and increased weight. In the hearts of normal weight (195 to 300 gm) the Thebesian valve covered the ostium of the coronary sinus an average of 41%, with complete coverage in 20%. The valve of Vieussens covered the origin of the coronary sinus an average of 59%. The average volume of the coronary sinus was 1.26 +/- 0.45 cc. In hearts of increased weight (365 to 675 gm), the Thebesian valve covered the ostium an average of 26% and the valve of Vieussens covered the origin of the coronary sinus an average of 56.5%. The average volume of the coronary sinus was increased to 1.76 +/- 0.73 cc (p less than 0.005). Thus knowledge of these functional anatomic features and the differences in hearts of increased cardiac weight allows for better utilization of the human coronary sinus for diagnostic and therapeutic purposes.
人体冠状窦是心脏静脉系统的重要组成部分，它既是一个解剖学标志，也是诊断和治疗操作的通道。我们研究了50个正常体重和心脏重量增加的人体心脏的冠状窦，以确定冠状窦的各种功能解剖特征以及正常体重和体重增加的心脏之间的差异。在正常体重（195至300克）的心脏中，心最小静脉瓣平均覆盖冠状窦口的41%，完全覆盖的占20%。 Vieussens瓣平均覆盖冠状窦起始处的59%。冠状窦的平均容积为1.26±0.45立方厘米。在体重增加（365至675克）的心脏中，心最小静脉瓣平均覆盖窦口的26%，Vieussens瓣平均覆盖冠状窦起始处的56.5%。冠状窦的平均容积增加到1.76±0.73立方厘米（p<0.005）。因此，了解这些功能解剖特征以及心脏重量增加时的差异，有助于更好地将人体冠状窦用于诊断和治疗目的。
