Great cardiac vein

Vena cardiaca magna

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What it is
Begins near the apex, ascends in the anterior interventricular groove beside the LAD, then turns left in the atrioventricular groove alongside the circumflex artery to become the coronary sinus at the back of the heart.
Function
Drains blood from the territory of the left coronary artery (front of both ventricles and the septum).
Size
About 2–3 mm wide, widening to ~4 mm near the coronary sinus.
Clinical note
The coronary sinus and great cardiac vein are the route used to place the left-ventricular lead of a biventricular pacemaker (CRT).