Document Detail

Pulmonary veins-left atrial junction: anatomic and histological study.
MedLine Citation:
PMID:  11139937     Owner:  NLM     Status:  MEDLINE    
Pulmonary veins (PVs) are the target of ablation procedures to cure paroxysmal atrial fibrillation (PAF). There are few anatomic and histological studies of PVs. Sixteen human hearts were obtained from autopsies performed at our hospital and cadavers from a local medical school. The anatomic relationship between the PVs and the left atrium (LA) was categorized according to the spatial orientation of the veins within horizontal and vertical planes viewed from the dorsal aspect of the LA. The PVs were sectioned longitudinally, and the sections were stained with hematoxylin and eosin. In addition, selected sections were stained with antismooth muscle antibodies (vessel wall), antipankeratin, and antimyoglobin antibodies (myocardium). The PV-LA junction has variable orientations. Confluent superior and inferior veins, observed in 25% of the hearts, were more common on the left side. A myocardial sleeve extended from the LA onto the adventitial surface of the PV. The sleeve was distinct from the smooth muscle in the PV media, from which it was separated by loose fibrous strands. There was no microscopical boundary between the PV and the LA endocardium. The PV join the LA at variable angles. Each PV is surrounded by a myocardial sleeve extending from the LA.
J B Moubarak; J V Rozwadowski; C T Strzalka; W R Buck; W S Tan; G F Kish; T Kisiel; H C Fronc; J D Maloney
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  23     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2001-01-03     Completed Date:  2001-02-22     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1836-8     Citation Subset:  IM    
Departments of Cardiovascular Medicine, Surgery, and Pathology, Hamot Medical Center, Erie, Pennsylvania, USA.
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MeSH Terms
Azo Compounds
Eosine Yellowish-(YS)
Fluorescent Dyes
Genetic Variation
Heart Atria / anatomy & histology*
Methyl Green
Middle Aged
Pulmonary Veins / anatomy & histology*,  metabolism
Reg. No./Substance:
0/Azo Compounds; 0/Fluorescent Dyes; 0/trichrome stain; 17372-87-1/Eosine Yellowish-(YS); 517-28-2/Hematoxylin; 82-94-0/Methyl Green

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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