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IJAR.2019.137

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Type of Article:  Original

Volume 7; Issue 2.1 (April 2019)

Page No.: 6437-6442

DOI: https://dx.doi.org/10.16965/ijar.2019.137

RELATIONSHIP OF GREAT CARDIAC VEIN IN THE TRIANGLE OF BROCQ AND MOUCHET- A CORROSION CAST STUDY

Suma H Y 1, Shanthini S 2.

1 Additional Professor, Department of Anatomy, Jawaharlal Institute of Postgraduate Education and Research, Puducherry, India.

2 Assistant Professor, Department of Anatomy, Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India.

Address for Correspondence: Dr. Suma H Y, Additional Professor, Department of Anatomy, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India. Phone- 9442550603 E-Mail: suma1478@gmail.com

ABSTRACT:

Background: The triangle of Brocq and Mouchet is an arteriovenous triangle between the anterior interventricular artery, circumflex artery and the great cardiac vein. The vascular triangle has been classified into 4 types viz. closed, superiorly opened, inferiorly opened and completely opened or absent. Polyurethane foam is a new material used in corrosion casting. It is economical, easy to carry out and does not require special apparatus.

Context and purpose of the study:

  1. To study the relationship of the Great cardiac vein (GCV) in the triangle of Brocq and Mouchet in human hearts using PU foam for corrosion cast.
  2. To study the relationship of GCV in relation to the arteries forming the triangle.

Results: The triangle was present in 98% of the hearts. Relationship of GCV in triangle of Brocq and Mouchet: Inferiorly open type of Triangle was the most common (87.5%). Next common type was, closed type (6.7%). In relation to GCV relation with the arteries in the triangle, it was to the left of AIA in 87.51% and crosses circumflex artery, either superficially or deep.

The GCV crossing anterior interventricular artery was found in few specimens. It crossed the artery superficially or deeply. The intertwining type of variation was observed in few casts, and could not be placed under any classification as suggested by previous authors.

Conclusion: The topography of the Great cardiac vein and its variations are significant in relation to the arteries in the region. It is relevant in interventional cardiology, radiology, and catheter-based procedures.

Key words: Triangle of Brocq And Mouchet, Greater Cardiac Vein, Anterior Interventricular Artery, Anterior Interventricular Groove.

REFERENCES

  1. Andrade FM, Ribeiro DC, Babinski MA, Cisne R, Goes ML. Triangle of Brocq & Mouchet in Brazilian cadavers and clinical implications. J Morphol Sci. 2010; 27 (3-4), 127-129.
  2. Metz, Ja., Yock, Pg. And Fitzgerald, PJ. Intravascular ultrasound: basic interpretation. Cardiology Clinics. 1997; 15 (1), 1-15.
  3. El-Maasarany S, Ferrett CG, Firth A, Sheppard M, Henein MY. The coronary sinus conduit function: anatomical study (relationship to adjacent structures). Europace. 2005; 7(5),475-81.
  4. Bales GS. Great cardiac vein variations. Clin Anat. 2004; 17(5), 436-43.
  5. Pejkovic B, Bogdanovic D. The great cardiac vein. Surg Radiol Anat. 1992; 14(1):23-8.
  6. Sousa-Rodrigues CF, Alcântara SF.; Silva WNV, Olave E. Arterio-venous trigone of the heart (Brocq & Mouchet trigone). Int. J. Morphol. 2004; 22(4):291-296.
  7. De Sordi N, Bombardi C, Chiocchetti R, Clavenzani P, Trerè C, Canova M et al. A new method of producing casts for anatomical studies. Anat Sci Int. 2014; 89:255-65.
  8. Bharathi D, Sathyamurthy B. An anatomical study of triangle of Brocq & Mouchet in human cadaveric heart & its clinical relevance. IOSR-JDMS. 2013; 8(2),12-15.
  9. Roy SS, Dubey A. Triangle of Brocq and Mouchet: An anatomical study in human cadaveric heart and its clinical significance. Int J Anat Res. 2016; 4(2):2266-8.
  10. von Lu¨dinghausen M. Clinical anatomy of cardiac veins, Vv. cardiacae. Surg Radiol Anat. 1987; 9,159–168.
  11. Ortale JR, Gabriel EA, Lost C, Marquez C. The anatomy of coronary sinus and its tributaries. Surg Radio Anat. 2001; 23(1), 15-21.
  12. Gerber TC, Sheedy PF, Bell MR, Hayes DL, Rumberger JA, Behrenbeck T, Holmes DR, Schwartz RS. 2001. Evaluation of the coronary venous system using electron beam computed tomography. Int J Cardiovasc Imaging 17:65–75.
  13. Cazeau S, Leclercq C, Lavergne T, Walker S, Varma C, Linde C et al. Effects of multisite biventricular pacing in patients with heart failure and intraventricular conduction delay. N Engl J Med. 2001; 344:873–80.

Cite this article: Suma H Y, Shanthini S. RELATIONSHIP OF GREAT CARDIAC VEIN IN THE TRIANGLE OF BROCQ AND MOUCHET- A CORROSION CAST STUDY. Int J Anat Res 2019;7(2.1):6437-6442. DOI: 10.16965/ijar.2019.137