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Morphologie der Ventrikulocoronaren Anastomosen bei Herzen mit intaktem und pathologisch verändertem Coronargefäßsystem

Morphology of ventriculo-coronary anastomoses in hearts with intact and pathologically altered coronary vessels

Eine injektionstechnische Studie an menschlichen Leichenherzen

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Summary

With the aid of plastic casts and injected hearts, which were treated by the method of Drahn, a survey was given of the morphology of the ventriculo-coronary anastomoses. In principle we distinguish Thebesian vessels, ventriculo-capillary vessels, ventriculo-venous and ventriculo-arterial communications. The last two types can be summarized as ventriculo-vasal vessels. Besides the elaboration of the morphology the functional importance of ventriculo-coronary anastomoses in the presence of coronary ischemia was pointed out.

Zusammenfassung

Es wurde mit Hilfe von Korrosionspräparaten und injizierten Herzen, die nach dem Drahnschen Verfahren aufgehellt wurden, ein Überblick über die Morphologie ventrikulocoronarer Anastomosen gegeben. Dabei unterscheiden wir grundsätzlich Thebesische Venen, ventrikulocapilldre Gefäße, ventrikulovenÖse und ventrikuloarterielle Kommunikationen. Die beiden letzten Gefäßtypen können als ventrikulovasale Gefäße zusammengefaßt werden. Neben der Ausarbeitung der Morphologie wurde auf die funktionelle Bedeutung ventrikulocoronarer Anastomosen bei coronarer Ischdmie hingewiesen.

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Literatur

  • Abernethy, J.: Phil. Trans. B.88, 103 (1798).

    Article  Google Scholar 

  • Albutt, C.: Diseases of the heart including angina pectoris. The MacMillan Co.2, 21 (1915).

    Google Scholar 

  • Alexander, W. S., Green, H. S.: Coronary blood vessels arising from cardiac ventricle. Arch. Path.53, 187 (1952).

    CAS  Google Scholar 

  • Bellet, S., Gouley, B. A.: Congenital heart disease with multiple cardiac anomalies; report of case showing aortic atresia, fibrous scar in myocardium and embryonal sinusoidal remains. Amer. J. med. Sci.183, 458 (1932).

    Article  Google Scholar 

  • ——, McMillan, T. M.: Nourishment of the myocardium through Thebesian vessels. Arch. intern. Med.51, 112 (1933).

    Google Scholar 

  • Bender, F.: Persistenz myokardialer Venensinusoide als isolierte kongenitale Fehlbildung bei einer Erwachsenen. Z. Kreisl.-Forsch.56, 58 (1967).

    CAS  Google Scholar 

  • Blakeway, H.: Hitherto undescribed malformation of heart. J. Anat. (Lond.)52, 354 (1918).

    CAS  Google Scholar 

  • Chenard, J., Samson, M., Beaulieu, DI.: Embryonal sinusoids in the myocardium; report of case successfully treated surgically. Canad. med. Ass. J.92, 1356 (1965).

    PubMed  CAS  Google Scholar 

  • Currarino, G., Silvermann, F. N., Landing, B. H.: Abnormal congenital fistulous communicating channels in coronary circulation. Amer. J. Roentgenol.82, 393 (1959).

    Google Scholar 

  • Edwards, J. E.: Malformations of the heart and great vessels. In: Gould, S. E. (Ed.): Pathology of the heart. p. 426ff. Springfield, III: Thomas 1953.

    Google Scholar 

  • Freedberg, A. S., Blumgart, H. L., Zoll. P. M., Schlesinger, M. J.: Coronary failure. The clinical Syndrom of cardiac pain intermediate between angina pectoris and acute myocardial infarcation. J. Amer. med. Ass.138, 107 (1948).

    CAS  Google Scholar 

  • Grant, R. T.: An unusual anomaly of the coronary vessels in the malformed heart of a child. Heart13, 273 (1926).

    Google Scholar 

  • —, Viko, L. E.: Observations on the anatomy of the Thebesian vessels of the heart. Heart15, 273 (1929).

    Google Scholar 

  • Hoffmann, E., Ringler, W., Gebhardt, Ch.: Die Bedeutung ventrikulokoronarer Verbindungen für die Ausgleichsversorgung des Herzmuskels bei Koronarischaemie. Z. Kreisl.-Forsch.56, 1218 (1967).

    CAS  Google Scholar 

  • Kauffman, S. L., Andersen, D. I.: Persistent venous valves, maldevelopment of the right heart, and coronary artery-ventricular communications. Amer. Heart J.66, 664 (1963).

    Article  PubMed  CAS  Google Scholar 

  • Kisseler, B., Levermann, H.: Kunstoffmodelle des menschlichen Herzens und ihre Bedeutung für die Röntgendiagnostik. Präparator 15, Heft 1/2 (1969).

  • Langer, L.: Die Foramina Thebesii im Herzen des Menschen. Aus dem 82. Band der Sitzb. der K. Akad. der Wissenschaften III. Abt. Juni-Heft 1880.

  • Lauer, R. M., Fink, H. P., Petry, E. L., Dunn, M. J., Diehl, A. M.: Angiographic demonstration of intramyocardial sinusoids in pulmonary valve atresia with intact ventricular septum and hypoplastic right ventricle. New Engl. J. Med.271, 68 (1964).

    Article  PubMed  CAS  Google Scholar 

  • Leary, T., Wearn, J. T.: Two cases of complete occlusion of both coronary orifices. Amer. Heart J.5, 412 (1930).

    Article  Google Scholar 

  • Lyon, R. A., Johansmann, R. J., Dodd, K.: Anomalous origin of left coronary artery. Amer. J. Dis. Child.72, 675 (1946).

    CAS  Google Scholar 

  • Pratt, F. H.: The nutrition of the heart through the vessels of Thebesius and coronary veins. Amer. J. Physiol.1, 86 (1898).

    Google Scholar 

  • Proescher, F., Baumann, F. W.: Abnormal origin of left coronary artery with extensive cardiac changes in female child thirteen months old. J. Pediat.25, 344 (1944).

    Article  Google Scholar 

  • Roberts, J. T.: Arteries, veins and lymphatic vessels of the heart. In: Luisda: Cardiologie I., p. 114. New York, Toronto, London: McGraw-Hill Co. Inc. 1959.

    Google Scholar 

  • Smith, G. T.: The anatomy of the coronary circulation. Amer. J. Cardiol.9, 327 (1962).

    Article  PubMed  CAS  Google Scholar 

  • Soloff, I. A.: Anomalous coronary arteries arising from pulmonary artery; report of case in which left coronary artery arose from pulmonary artery. Amer. Heart J.24,118 (1942).

    Article  Google Scholar 

  • Stella, G.: The part played by the Thebesian vessels in the blood supply to the heart. J. Physiol. (Lond.)73, 36 (1931).

    CAS  Google Scholar 

  • Tandler, J.: Anatomie des Herzens. Jena: Fischer 1939.

    Google Scholar 

  • Thebesius, A. C.: Disputatio medics, de circulo sanguinis in corde. Lugduni Batavorum, 1708.

  • Thiel, W.: Ein Injektionsapparat für anatomische Zwecke.Anat. Anz.102, 89 (1955).

    PubMed  CAS  Google Scholar 

  • Thorel, C. H.: Pathologie der Kreislauforgane. Ergebn. allg. Path. Anat.9, 1, 559 (1903).

    Google Scholar 

  • Unger, K.: Die Venae cordis minimae und die Foramina venarum minimarum (Thebesii) des Herzens. Z. Kreisl.-Forsch.26, 865 (1934);27, 56 (1935), 81.

    Google Scholar 

  • Vieussens, R.: Nouvelles découvertes sur le coeur. Paris: 1706.

  • — Traité nouveau de la structure et de causes du mouvement. Naturel du coeur. Toulouse: 1715.

  • Waranabe, Y.: An experimental study of the coronary luminal communicating channels in coronary circulation. Jap. Circ. J. (engl. ed.)24, 11 (1960).

    Google Scholar 

  • Wearn, J. T.: The role of the Thebesian vessels in the circulation of the heart. J. exp. Med.47, 293 (1928).

    Article  CAS  PubMed  Google Scholar 

  • —: Coronary arteries and cardiac pain. (Levy, R. L., Ed.). New York: The Macmillan Co. 1936.

    Google Scholar 

  • —, Mettier, S. R., Klumpp, T. G., Zschiesche, J.: The nature of the vascular communications between the coronary arteries and the chambers of the heart. Heart J.9, 143 (1933).

    Article  Google Scholar 

  • Williams, R., Kent, G., Edwards, J. E.: Anomalous cardiac blood vassels communicating with right ventricle. Arch. Path.52, 480 (1951).

    CAS  Google Scholar 

  • Young, D. A. B., Fell, B. F.: Vascular connections between the coronary circulation and the ventricles of the rat heart. Anat. Rec.144, 1949 (1962).

    Article  Google Scholar 

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Hoffmann, E., Gebhardt, C. & Kisseler, B. Morphologie der Ventrikulocoronaren Anastomosen bei Herzen mit intaktem und pathologisch verändertem Coronargefäßsystem. Langenbecks Arch Chiv 328, 180–200 (1970). https://doi.org/10.1007/BF01877670

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