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Ann Thorac Surg 1977;24:531-536
© 1977 The Society of Thoracic Surgeons

Articles

The Terminal Pathway of the Lymphatic System of the Human Heart

Mario Feola, M.D.*, Robert Merklin, M.D., Sung Cho, M.D., Stanley K. Brockman, M.D.

Division of Cardiothoracic Surgery, the Department of Anatomy, and the Department of Pathology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA.

Accepted for publication April 1, 1977.

* Address reprint requests to Dr. Feola, Texas Tech University School of Medicine, 1400 Wallace Blvd, Amarillo, TX 79106

Anatomical dissections in 9 human cadavers revealed the terminal pathway of the lymphatic system of the left ventricle to be constituted mainly by channels emptying into the right angulus venosus (junction of the internal jugular and subclavian veins) at the base of the right side of the neck. This observation has clinical implications because it has been shown that a sampling of cardiac lymph provides the best method for analyzing myocardial metabolic abnormalities and that drainage of cardiac lymph alleviates the myocardial changes produced by ischemic injury.




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