Small Vessel Disease

Rahlf, G; Neufeld, Henry N.; Schneeweiss, Adam; Lehrer, E; Lieberman, Y; Tauchert, M.; Jansen, W.; Hombach, Vinzenz; Niehues, B; Behrenbeck, D. W.; Hilger, H. H.; Strauer, B. E.; Schenk, H.-D.; Burger, Sandrine; Heitlinger, K.

doi:10.1007/978-3-642-68485-2_9

Cited by 5 publications

(2 citation statements)

References 64 publications

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“…Such demands may be due to various causes. In our opinion, the presence of anastomoses relates to deviations in morphological pat terns of papillary muscle arteries [1,5] and to early ischemic alterations of the papillary muscle as described in the literature [2][3][4][22][23][24], Our findings of dilated lymphatic vessels of the arcade type under the origin of the chordae tendineae can be compared with the concentration of lymphatic vessels in the pa pillary muscle apex as described in the dog by Uhley and Leeds [ 15]. In cleared preparations and under the light microscope, we observed not only the formation of arcades in the lym phatic system, but also arcades in the venous bed.…”

Section: Discussionmentioning

confidence: 92%

“…The most detailed morphological and pathological data pertain to the arteries [1][2][3][4][5]. The venous drainage of papillary muscles has not been described as a whole in the literature until recently; the in vestigators' attention was focused upon the system of thebesian vein running through the papillary muscles [6][7][8][9], Scanty informations are available concerning the lymphatic bed of papillary muscles [10].…”

Section: Introductionmentioning

confidence: 99%

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How Lymph Is Drained away from the Human Papillary Muscle: Anatomical Conditions

Elisková

Eliska²

1992

Cardiology

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The lymphatic and venous bed was evaluated in 42 human heart papillary muscles. The lymphatics form networks in the superficial and deep layers of the subendocardium and in the myocardium of the papillary muscles. In the apical area, the subendocardial lymphatics gradually merge with the fine myocardial, developing arcades at the origins of chordae tendineae. Thicker myocardial lymphatics leave the area passing along the connective tissue septa, often in close vicinity to the blood vessels. The injection method failed to reveal deep lymphatics in the connective tissue of chordae tendineae. Lymphovenous anastomoses were disclosed in the papillary muscle. The possible morphological pathways for lymphatic drainage of the papillary muscle are as follows: (1) the lymphatic bed subendocardial and myocardial, joining on the ventricular wall bed at the muscle base, and (2) lymphovenous anastomoses, passing along from the myocardial and subendocardial lymphatic bed into the ventricular wall veins and the sinus coronarius system, or into the thebesian veins and further directly into the heart ventricles.

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