Coronary sinus

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Coronary sinus
Gray491.png
Back (posterior) side of the heart, with coronary sinus (blue) labeled
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Interior of heart, viewed from the front (opening of coronary sinus is labeled)
Details
Latin Sinus coronarius
Source
Great cardiac vein
Drains to
Right atrium
Sinus venosus
Identifiers
Gray's p.530
Dorlands
/Elsevier
s_12/12738662
Anatomical terminology

The coronary sinus is a collection of veins joined together to form a large vessel that collects blood from the heart muscle (myocardium). It delivers deoxygenated blood to the right atrium, as do the superior and inferior vena cavae. It is present in all mammals, including humans.

The coronary sinus opens into the right atrium, at the coronary sinus orifice, between the inferior vena cava and the right atrioventricular orifice. It returns the blood from the substance of the heart, and is protected by a semicircular fold of the lining membrane of the auricle, the valve of coronary sinus (or valve of Thebesius). The sinus, before entering the auricle, is considerably dilated - nearly to the size of the end of the little finger. Its wall is partly muscular, and at its junction with the great cardiac vein is somewhat constricted and furnished with a valve consisting of two unequal segments.

Structure[edit]

The coronary sinus runs transversely in the left atrioventricular groove on the posterior side of the heart. It is the distal portion of the Great Cardiac Vein feeding into the Right Atrium.

The coronary sinus orifice (opening, also known as the ostium of the coronary sinus) is on the posterior, inferior surface of the heart, medial to the inferior vena cava opening, just superior to the septal leaflet of the tricuspid valve. The coronary sinus orifice is guarded by the Thebesian valve.

Function[edit]

The coronary sinus receives blood mainly from the small, middle, great and oblique cardiac veins. It also receives blood from the left marginal vein and the left posterior ventricular vein. It drains into the right atrium.

The anterior cardiac veins do not drain into the coronary sinus but drain directly into the right atrium. Some small veins known as smallest cardiac veins drain directly into any of the four chambers of the heart.

Additional images[edit]

See also[edit]

This article uses anatomical terminology; for an overview, see anatomical terminology.

External links[edit]